Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.38 / $116.72 / $412.65	Facility		$75.38	$116.72	$412.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $68.31 / $115.50	Professional		$62.10	$68.31	$115.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Professional		$62.10	$62.10	$62.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.39 / $115.50 / $165.17	Facility		$63.39	$115.50	$165.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $124.20	Professional		$62.10	$62.10	$124.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $124.29 / $195.32	Facility		$96.42	$124.29	$195.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $106.54 / $106.54	Professional		$88.78	$106.54	$106.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $115.50 / $174.50	Facility		$62.10	$115.50	$174.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $79.08 / $104.70	Professional		$62.10	$79.08	$104.70
United Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $93.15 / $176.99	Professional		$65.83	$93.15	$176.99