Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.55 / $6,541.00 / $13,413.92	Facility		$573.55	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.95 / $300.47 / $972.78	Professional		$227.95	$300.47	$972.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $159.37 / $793.85	Professional		$68.27	$159.37	$793.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $226.31 / $325.97	Facility		$56.03	$226.31	$325.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.44 / $367.64 / $1,292.23	Professional		$114.44	$367.64	$1,292.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $405.00 / $1,104.92	Professional		$165.00	$405.00	$1,104.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $226.31 / $1,332.71	Facility		$56.03	$226.31	$1,332.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.67 / $286.62 / $865.80	Professional		$111.67	$286.62	$865.80
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.32 / $472.88 / $824.63	Professional		$222.32	$472.88	$824.63