Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.48 / $802.93 / $1,254.58	Facility		$444.48	$802.93	$1,254.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.24 / $802.93 / $1,236.65	Professional		$731.24	$802.93	$1,236.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.58 / $295.58 / $295.58	Facility		$295.58	$295.58	$295.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.58 / $512.58 / $512.58	Facility		$512.58	$512.58	$512.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $107.00 / $344.54	Professional		$96.30	$107.00	$344.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $374.50 / $395.90 / $428.00	Facility		$374.50	$395.90	$428.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $240.75 / $240.75	Professional		$96.30	$240.75	$240.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.58 / $395.90 / $512.58	Facility		$295.58	$395.90	$512.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $294.25 / $294.25	Professional		$96.30	$294.25	$294.25
United Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $214.00 / $322.83	Professional		$107.00	$214.00	$322.83