Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $5,888.44 / $14,125.38	Facility		$446.68	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $741.31	Professional		$117.49	$204.17	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $537.03	Professional		$512.86	$512.86	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $162.18 / $1,047.13	Facility		$125.89	$162.18	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $537.03	Professional		$338.84	$416.87	$537.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $691.83	Professional		$346.74	$602.56	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $204.17 / $1,047.13	Facility		$125.89	$204.17	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $234.42 / $512.86	Professional		$60.26	$234.42	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $616.60	Professional		$218.78	$407.38	$616.60