Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $155.49 / $155.49	Professional		$155.49	$155.49	$155.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $45.00 / $46.35	Professional		$38.25	$45.00	$46.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.63 / $75.20 / $113.67	Facility		$50.63	$75.20	$113.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $112.56 / $149.22	Professional		$14.30	$112.56	$149.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $119.21 / $315.35	Professional		$14.55	$119.21	$315.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $73.58 / $112.38	Facility		$46.76	$73.58	$112.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $45.00 / $46.35	Professional		$38.25	$45.00	$46.35
United Facility/Professional Professional Modifier Low / Median / High Price $73.13 / $152.36 / $255.97	Professional		$73.13	$152.36	$255.97