Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.50 / $7,340.00 / $13,413.92	Facility		$323.50	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $152.65 / $621.33	Professional		$47.35	$152.65	$621.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $158.69 / $418.01	Professional		$75.97	$158.69	$418.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $130.16 / $400.46	Facility		$61.28	$130.16	$400.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.82 / $292.88 / $733.37	Professional		$134.82	$292.88	$733.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.50 / $355.00 / $729.12	Professional		$177.50	$355.00	$729.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $130.16 / $851.22	Facility		$61.28	$130.16	$851.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $262.26 / $588.00	Professional		$112.90	$262.26	$588.00
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 $301.57 / $340.54 / $510.81	Professional		$301.57	$340.54	$510.81