Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.66 / $96.66 / $147.97	Facility		$96.66	$96.66	$147.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $46.27 / $121.00	Professional		$31.85	$46.27	$121.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $113.48 / $180.27	Professional		$81.41	$113.48	$180.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $82.99 / $169.40	Facility		$45.22	$82.99	$169.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $145.55 / $209.07	Professional		$88.95	$145.55	$209.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $145.80 / $261.00	Professional		$68.84	$145.80	$261.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $79.04 / $169.40	Facility		$40.39	$79.04	$169.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.68 / $129.60 / $248.26	Professional		$66.68	$129.60	$248.26
United Facility/Professional Professional Modifier Low / Median / High Price $138.32 / $144.22 / $288.44	Professional		$138.32	$144.22	$288.44