Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.94 / $466.45 / $555.51	Facility		$131.94	$466.45	$555.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $86.70 / $161.75	Professional		$68.20	$86.70	$161.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $68.20	Professional		$68.20	$68.20	$68.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $126.85 / $585.05	Facility		$71.65	$126.85	$585.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $170.50	Professional		$68.20	$68.20	$170.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.78 / $254.03 / $269.94	Facility		$171.78	$254.03	$269.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $147.24 / $147.24	Professional		$122.70	$147.24	$147.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.74 / $134.97 / $404.91	Facility		$124.74	$134.97	$404.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $134.97 / $234.78	Professional		$68.20	$134.97	$234.78
United Facility/Professional Professional Modifier Low / Median / High Price $72.29 / $102.30 / $204.60	Professional		$72.29	$102.30	$204.60