Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.74 / $150.74 / $150.74	Facility		$150.74	$150.74	$150.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $57.25 / $106.39	Professional		$45.82	$57.25	$106.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.34 / $151.94 / $196.60	Professional		$59.34	$151.94	$196.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.65 / $61.32 / $148.94	Facility		$42.65	$61.32	$148.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $154.29 / $191.29	Professional		$96.72	$154.29	$191.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $126.20 / $166.95	Professional		$72.00	$126.20	$166.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $67.09 / $148.94	Facility		$48.17	$67.09	$148.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $126.20 / $200.00	Professional		$64.80	$126.20	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $157.28 / $197.94	Professional		$137.47	$157.28	$197.94