Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $117.49	Facility		$114.82	$114.82	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.15 / $51.29	Professional		$32.36	$37.15	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $112.20 / $151.36	Professional		$43.65	$112.20	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $37.15 / $81.28	Facility		$31.62	$37.15	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $109.65 / $154.88	Professional		$38.02	$109.65	$154.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $125.89	Professional		$56.23	$97.72	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $37.15 / $79.43	Facility		$31.62	$37.15	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $147.91	Professional		$39.81	$72.44	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $120.23 / $177.83	Professional		$52.48	$120.23	$177.83