Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.02 / $144.47 / $510.79	Facility		$78.02	$144.47	$510.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $86.90 / $146.93	Professional		$78.02	$86.90	$146.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.79 / $146.93 / $205.70	Facility		$79.79	$146.93	$205.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $158.00	Professional		$79.00	$79.00	$158.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.94 / $138.46 / $217.58	Facility		$112.94	$138.46	$217.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.90 / $118.68 / $118.68	Professional		$98.90	$118.68	$118.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $146.93 / $205.70	Facility		$79.00	$146.93	$205.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $89.51 / $118.68	Professional		$79.00	$89.51	$118.68
United Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $118.50 / $237.00	Professional		$83.74	$118.50	$237.00