Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.51 / $156.97 / $555.00	Facility		$88.51	$156.97	$555.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $93.63 / $158.32	Professional		$85.12	$93.63	$158.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $85.12	Professional		$85.12	$85.12	$85.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.97 / $158.32 / $221.65	Facility		$85.97	$158.32	$221.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $170.24	Professional		$85.12	$85.12	$170.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.61 / $138.69 / $217.95	Facility		$126.61	$138.69	$217.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.07 / $118.88 / $118.88	Professional		$99.07	$118.88	$118.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $158.32 / $221.65	Facility		$85.12	$158.32	$221.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $99.68 / $115.98	Professional		$85.12	$99.68	$115.98
United Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $127.68 / $255.36	Professional		$90.23	$127.68	$255.36