Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.30 / $311.05 / $788.39	Facility		$170.30	$311.05	$788.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $78.50 / $195.63	Professional		$71.14	$78.50	$195.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $141.88 / $470.35	Professional		$67.68	$141.88	$470.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.84 / $195.63 / $273.88	Facility		$63.84	$195.63	$273.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.21 / $200.88 / $362.25	Professional		$159.21	$200.88	$362.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $294.30 / $421.86	Professional		$194.22	$294.30	$421.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.18 / $194.66 / $273.88	Facility		$100.18	$194.66	$273.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $261.60 / $452.20	Professional		$91.28	$261.60	$452.20
United Facility/Professional Professional Modifier Low / Median / High Price $90.68 / $182.66 / $277.94	Professional		$90.68	$182.66	$277.94