Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.51 / $176.73 / $235.64	Facility		$83.51	$176.73	$235.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.22 / $160.22	Professional		$63.10	$85.22	$160.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $98.00 / $163.00	Professional		$74.00	$98.00	$163.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.05 / $143.88 / $263.91	Facility		$81.05	$143.88	$263.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.27 / $229.02 / $319.86	Professional		$143.27	$229.02	$319.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $180.20 / $372.60	Professional		$117.73	$180.20	$372.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.02 / $155.44 / $244.16	Facility		$82.02	$155.44	$244.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $156.88 / $355.50	Professional		$98.00	$156.88	$355.50
United Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $206.36 / $408.89	Professional		$93.19	$206.36	$408.89