Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $5,888.44 / $14,125.38	Facility		$478.63	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $588.84	Professional		$154.88	$257.04	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $1,096.48	Professional		$389.05	$602.56	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $380.19 / $1,174.90	Facility		$173.78	$380.19	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $1,202.26	Professional		$380.19	$645.65	$1,202.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $1,412.54	Professional		$562.34	$912.01	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $338.84 / $1,122.02	Facility		$186.21	$338.84	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $331.13 / $602.56	Professional		$60.26	$331.13	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $741.31 / $1,288.25	Professional		$239.88	$741.31	$1,288.25