Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.89 / $468.92 / $13,413.92	Facility		$377.89	$468.92	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $109.26 / $637.57	Professional		$54.18	$109.26	$637.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.49 / $192.86 / $426.77	Professional		$112.49	$192.86	$426.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $314.91 / $450.32 / $892.60	Facility		$314.91	$450.32	$892.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $183.35 / $394.95	Professional		$152.03	$183.35	$394.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $287.70 / $579.00	Professional		$151.19	$287.70	$579.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $314.91 / $450.32 / $892.60	Facility		$314.91	$450.32	$892.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.40 / $274.50 / $585.00	Professional		$127.40	$274.50	$585.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.35 / $341.42 / $515.07	Professional		$127.35	$341.42	$515.07