Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $4,265.80 / $12,022.64	Facility		$489.78	$4,265.80	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $478.63	Professional		$85.11	$134.90	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $512.86	Professional		$331.13	$331.13	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $478.63 / $4,570.88	Facility		$79.43	$478.63	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $478.63	Professional		$190.55	$338.84	$478.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $660.69	Professional		$229.09	$389.05	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $154.88 / $758.58	Facility		$79.43	$154.88	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $177.83 / $489.78	Professional		$60.26	$177.83	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $407.38	Professional		$158.49	$269.15	$407.38