Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.39 / $6,479.00 / $13,413.92	Facility		$569.39	$6,479.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $249.84 / $1,128.71	Professional		$90.40	$249.84	$1,128.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.86 / $354.86 / $765.40	Professional		$354.86	$354.86	$765.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.82 / $710.74 / $1,580.19	Facility		$125.82	$710.74	$1,580.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.39 / $697.68 / $1,538.74	Professional		$281.39	$697.68	$1,538.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.15 / $648.92 / $1,360.00	Professional		$390.15	$648.92	$1,360.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.82 / $710.74 / $1,580.19	Facility		$125.82	$710.74	$1,580.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.86 / $557.96 / $1,360.00	Professional		$213.86	$557.96	$1,360.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.14 / $612.32 / $1,530.80	Professional		$599.14	$612.32	$1,530.80