Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.14 / $6,541.00 / $13,413.92	Facility		$432.14	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $182.43 / $830.03	Professional		$99.06	$182.43	$830.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.65 / $362.65 / $502.86	Professional		$362.65	$362.65	$502.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.32 / $827.58 / $1,162.04	Facility		$129.32	$827.58	$1,162.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $248.25 / $644.70 / $1,014.20	Professional		$248.25	$644.70	$1,014.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.10 / $584.90 / $852.33	Professional		$413.10	$584.90	$852.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.32 / $827.58 / $1,162.04	Facility		$129.32	$827.58	$1,162.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.28 / $573.75 / $1,048.82	Professional		$213.28	$573.75	$1,048.82
United Facility/Professional Professional Modifier Low / Median / High Price $402.30 / $603.45 / $953.72	Professional		$402.30	$603.45	$953.72