Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.60 / $187.32 / $260.70	Facility		$129.60	$187.32	$260.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $106.41 / $220.29	Professional		$58.81	$106.41	$220.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $185.46 / $362.89	Professional		$69.65	$185.46	$362.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $160.50 / $292.00	Facility		$85.45	$160.50	$292.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.48 / $284.35 / $468.16	Professional		$175.48	$284.35	$468.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.15 / $206.15 / $3,495.87	Facility		$206.15	$206.15	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.75 / $256.80 / $372.00	Professional		$165.75	$256.80	$372.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $149.86 / $292.00	Facility		$80.70	$149.86	$292.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $217.00 / $359.95	Professional		$129.19	$217.00	$359.95
United Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $290.30 / $326.58	Professional		$98.68	$290.30	$326.58