Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $77.54 / $142.12	Professional		$63.83	$77.54	$142.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $67.12	Professional		$66.06	$66.06	$67.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.93 / $85.82 / $198.97	Facility		$57.93	$85.82	$198.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $179.53 / $215.43 / $233.38	Professional		$179.53	$215.43	$233.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.01 / $175.20 / $333.00	Professional		$101.01	$175.20	$333.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $92.88 / $198.97	Facility		$65.73	$92.88	$198.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.92 / $175.20 / $366.30	Professional		$84.92	$175.20	$366.30
United Facility/Professional Professional Modifier Low / Median / High Price $206.92 / $208.22 / $262.05	Professional		$206.92	$208.22	$262.05