Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.26 / $115.96 / $409.96	Facility		$73.26	$115.96	$409.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $67.58 / $114.27	Professional		$61.44	$67.58	$114.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $75.34	Professional		$61.44	$61.44	$75.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $114.27 / $163.41	Facility		$62.97	$114.27	$163.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $122.88	Professional		$61.44	$61.44	$122.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.18 / $130.90 / $205.70	Facility		$95.18	$130.90	$205.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $112.20 / $112.20	Professional		$93.50	$112.20	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $114.27 / $187.00	Facility		$61.44	$114.27	$187.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $78.25 / $110.11	Professional		$61.44	$78.25	$110.11
United Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $92.16 / $184.32	Professional		$65.13	$92.16	$184.32