Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $59.08 / $208.88	Facility		$19.07	$59.08	$208.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $70.05 / $117.29	Professional		$63.06	$70.05	$117.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.72 / $167.72 / $167.72	Facility		$167.72	$167.72	$167.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $203.05	Professional		$63.06	$63.06	$203.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.08 / $460.75 / $724.04	Facility		$122.08	$460.75	$724.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.94 / $460.75 / $1,086.06	Facility		$151.94	$460.75	$1,086.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $68.41	Professional		$63.06	$63.06	$68.41
United Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $94.59 / $189.18	Professional		$70.20	$94.59	$189.18