Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.57 / $6,541.00 / $13,413.92	Facility		$279.57	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $97.20 / $471.69	Professional		$58.70	$97.20	$471.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.49 / $164.73 / $305.76	Professional		$120.49	$164.73	$305.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $343.20 / $480.48 / $660.37	Facility		$343.20	$480.48	$660.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.05 / $207.66 / $291.12	Professional		$173.05	$207.66	$291.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.66 / $304.50 / $419.40	Professional		$170.66	$304.50	$419.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $343.20 / $480.48 / $660.37	Facility		$343.20	$480.48	$660.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.72 / $261.30 / $478.38	Professional		$127.72	$261.30	$478.38
United Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $244.60 / $369.00	Professional		$104.12	$244.60	$369.00