Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.41 / $121.03 / $427.88	Facility		$67.41	$121.03	$427.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $122.06 / $153.24	Professional		$66.38	$122.06	$153.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.55 / $174.55 / $174.55	Facility		$174.55	$174.55	$174.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $211.33	Professional		$65.63	$65.63	$211.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $104.33 / $163.94	Facility		$96.70	$104.33	$163.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.02 / $149.04 / $245.92	Facility		$97.02	$149.04	$245.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $71.20	Professional		$65.63	$65.63	$71.20
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $98.45 / $132.38	Professional		$65.63	$98.45	$132.38