Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.01 / $110.15 / $245.70	Facility		$71.01	$110.15	$245.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $34.81 / $71.01	Professional		$15.84	$34.81	$71.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $84.66 / $117.60	Professional		$41.89	$84.66	$117.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.82 / $60.36 / $72.11	Facility		$33.82	$60.36	$72.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $98.60 / $118.79	Professional		$52.27	$98.60	$118.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.50 / $60.50 / $3,495.87	Facility		$60.50	$60.50	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $72.95 / $141.25	Professional		$55.00	$72.95	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.50 / $60.50 / $3,495.87	Facility		$60.50	$60.50	$3,495.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $77.70 / $118.46	Professional		$45.03	$77.70	$118.46
United Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $101.34 / $141.88	Professional		$94.52	$101.34	$141.88