Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.98 / $113.98 / $113.98	Facility		$113.98	$113.98	$113.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $93.20 / $231.42	Professional		$93.20	$93.20	$231.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $66.38 / $150.04	Professional		$66.38	$66.38	$150.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.20 / $130.47 / $133.28	Facility		$93.20	$130.47	$133.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $121.29 / $125.00	Professional		$90.97	$121.29	$125.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.41 / $163.35 / $189.00	Professional		$97.41	$163.35	$189.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.20 / $130.47 / $133.28	Facility		$93.20	$130.47	$133.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $127.41 / $253.64	Professional		$59.85	$127.41	$253.64
United Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $120.02 / $120.02	Professional		$64.73	$120.02	$120.02