Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.99 / $2,425.94 / $11,709.00	Facility		$315.99	$2,425.94	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $170.36 / $751.53	Professional		$93.92	$170.36	$751.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.23 / $272.08 / $501.19	Professional		$189.23	$272.08	$501.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $531.54 / $751.41 / $1,051.97	Facility		$531.54	$751.41	$1,051.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $267.68 / $321.20 / $463.86	Professional		$267.68	$321.20	$463.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $472.50 / $673.50	Professional		$333.90	$472.50	$673.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $531.54 / $751.41 / $1,051.97	Facility		$531.54	$751.41	$1,051.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.28 / $409.50 / $749.70	Professional		$209.28	$409.50	$749.70
United Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $400.96 / $604.89	Professional		$172.52	$400.96	$604.89