Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.78 / $219.08 / $593.15	Facility		$167.78	$219.08	$593.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $95.97 / $3,305.24	Professional		$86.37	$95.97	$3,305.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.76 / $229.76 / $229.76	Facility		$229.76	$229.76	$229.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $278.14	Professional		$86.38	$86.38	$278.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.14 / $655.20 / $1,029.59	Facility		$187.14	$655.20	$1,029.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.74 / $655.20 / $1,544.40	Facility		$207.74	$655.20	$1,544.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $93.71	Professional		$86.38	$86.38	$93.71
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $129.57 / $174.25	Professional		$86.38	$129.57	$174.25