Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.38 / $4,473.04 / $11,709.00	Facility		$257.38	$4,473.04	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $156.15 / $838.80	Professional		$36.64	$156.15	$838.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $145.36 / $631.86	Professional		$63.79	$145.36	$631.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.81 / $175.30 / $294.45	Facility		$50.81	$175.30	$294.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $333.06 / $1,118.98	Professional		$104.04	$333.06	$1,118.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $292.50 / $861.95	Professional		$150.00	$292.50	$861.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.81 / $188.93 / $1,149.16	Facility		$50.81	$188.93	$1,149.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.67 / $248.20 / $751.10	Professional		$100.67	$248.20	$751.10
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 $210.00 / $379.78 / $572.94	Professional		$210.00	$379.78	$572.94