Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $64.52 / $119.06	Professional		$50.85	$64.52	$119.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $67.88 / $89.06	Professional		$57.73	$67.88	$89.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.29 / $84.35 / $166.68	Facility		$53.29	$84.35	$166.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $179.52 / $203.00	Professional		$76.50	$179.52	$203.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $129.97 / $281.30	Professional		$87.29	$129.97	$281.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.32 / $84.35 / $166.68	Facility		$53.32	$84.35	$166.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $127.84 / $282.00	Professional		$76.50	$127.84	$282.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.55 / $186.34 / $209.63	Professional		$173.55	$186.34	$209.63