Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,047.13 / $1,659.59	Facility		$575.44	$1,047.13	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $446.68	Professional		$107.15	$125.89	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $645.65	Facility		$134.90	$134.90	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $436.52	Professional		$134.90	$134.90	$436.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $501.19 / $537.03	Facility		$134.90	$501.19	$537.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $371.54 / $645.65	Facility		$107.15	$371.54	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $269.15 / $407.38	Professional		$81.28	$269.15	$407.38