Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.80 / $387.24 / $840.45	Facility		$72.80	$387.24	$840.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $56.97 / $399.00	Professional		$13.09	$56.97	$399.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $42.89 / $82.82	Professional		$12.67	$42.89	$82.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $49.82 / $137.90	Facility		$13.95	$49.82	$137.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $54.00 / $157.69	Professional		$29.10	$54.00	$157.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $101.25 / $253.75	Professional		$45.00	$101.25	$253.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $39.65 / $137.90	Facility		$15.50	$39.65	$137.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $68.40 / $231.66	Professional		$24.70	$68.40	$231.66
United Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $125.30 / $212.84	Professional		$76.94	$125.30	$212.84