Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.12 / $6,541.00 / $13,413.92	Facility		$675.12	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $331.06 / $1,296.71	Professional		$44.53	$331.06	$1,296.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $328.05 / $946.19	Professional		$76.48	$328.05	$946.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $262.80 / $614.00	Facility		$59.30	$262.80	$614.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.38 / $387.86 / $1,513.82	Professional		$121.38	$387.86	$1,513.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $627.26 / $1,569.84	Professional		$175.00	$627.26	$1,569.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $262.80 / $1,776.49	Facility		$59.30	$262.80	$1,776.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.59 / $333.20 / $1,272.15	Professional		$117.59	$333.20	$1,272.15
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 $340.00 / $702.98 / $1,054.47	Professional		$340.00	$702.98	$1,054.47