Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $7,079.46 / $14,125.38	Facility		$363.08	$7,079.46	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $602.56	Professional		$125.89	$234.42	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $660.69	Professional		$407.38	$407.38	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $275.42 / $977.24	Facility		$138.04	$275.42	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $645.65 / $1,380.38	Professional		$263.03	$645.65	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,174.90	Professional		$489.78	$758.58	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $575.44 / $1,380.38	Facility		$234.42	$575.44	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $165.96 / $660.69	Professional		$60.26	$165.96	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $1,202.26	Professional		$309.03	$524.81	$1,202.26