Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $91.20	Professional		$56.23	$67.61	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $257.04	Professional		$69.18	$104.71	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $97.72 / $151.36	Facility		$61.66	$97.72	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $371.54	Professional		$147.91	$204.17	$371.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $263.03	Professional		$165.96	$204.17	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $100.00 / $181.97	Facility		$66.07	$100.00	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $251.19	Professional		$69.18	$107.15	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $213.80 / $316.23	Professional		$70.79	$213.80	$316.23