Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.48 / $200.48 / $708.75	Facility		$200.48	$200.48	$708.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $202.50 / $202.50	Professional		$124.50	$202.50	$202.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.58 / $289.58 / $289.58	Facility		$289.58	$289.58	$289.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $210.00 / $330.00	Facility		$210.00	$210.00	$330.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $289.58 / $495.00	Facility		$210.00	$289.58	$495.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $187.50 / $252.15	Professional		$125.00	$187.50	$252.15