Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.53 / $193.29 / $400.46	Facility		$158.53	$193.29	$400.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $59.69 / $115.74	Professional		$20.62	$59.69	$115.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $84.66 / $117.60	Professional		$30.40	$84.66	$117.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.46 / $86.33 / $115.74	Facility		$27.46	$86.33	$115.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $151.22 / $196.59	Professional		$67.75	$151.22	$196.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $102.85 / $3,495.87	Facility		$102.85	$102.85	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $82.45 / $172.04	Professional		$48.45	$82.45	$172.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.46 / $80.84 / $115.74	Facility		$27.46	$80.84	$115.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $81.06 / $126.06	Professional		$37.32	$81.06	$126.06
United Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $131.19 / $183.68	Professional		$90.66	$131.19	$183.68