Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.13 / $6,782.00 / $14,552.94	Facility		$499.13	$6,782.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.94 / $664.29 / $846.55	Professional		$122.94	$664.29	$846.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.99 / $442.39 / $763.79	Professional		$333.99	$442.39	$763.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $153.43 / $664.29 / $1,185.17	Facility		$153.43	$664.29	$1,185.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.48 / $507.51 / $1,019.85	Professional		$323.48	$507.51	$1,019.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $725.80 / $996.45	Professional		$500.00	$725.80	$996.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.82 / $719.57 / $1,185.17	Facility		$160.82	$719.57	$1,185.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.37 / $706.70 / $1,004.25	Professional		$276.37	$706.70	$1,004.25
United Facility/Professional Professional Modifier Low / Median / High Price $453.16 / $793.03 / $996.95	Professional		$453.16	$793.03	$996.95