Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $156.44 / $156.44	Professional		$156.44	$156.44	$156.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $128.79 / $128.79	Facility		$128.79	$128.79	$128.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $128.79 / $137.30	Professional		$94.02	$128.79	$137.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $39.29 / $39.29	Facility		$39.29	$39.29	$39.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $171.87 / $271.38	Professional		$51.26	$171.87	$271.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.98 / $80.98 / $176.19	Facility		$80.98	$80.98	$176.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.94 / $176.19 / $383.55	Professional		$126.94	$176.19	$383.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $39.29 / $128.79	Facility		$39.29	$39.29	$128.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $137.30 / $211.43	Professional		$94.02	$137.30	$211.43
United Facility/Professional Professional Modifier Low / Median / High Price $92.05 / $142.52 / $237.54	Professional		$92.05	$142.52	$237.54