Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.08 / $6,541.00 / $13,413.92	Facility		$541.08	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $195.03 / $1,039.24	Professional		$91.01	$195.03	$1,039.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.08 / $264.08 / $604.02	Professional		$264.08	$264.08	$604.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $601.69 / $1,454.94	Facility		$93.72	$601.69	$1,454.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.88 / $520.91 / $1,252.90	Professional		$181.88	$520.91	$1,252.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.05 / $683.75 / $1,085.19	Professional		$301.05	$683.75	$1,085.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $601.69 / $1,454.94	Facility		$93.72	$601.69	$1,454.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.83 / $525.98 / $1,219.81	Professional		$259.83	$525.98	$1,219.81
United Facility/Professional Professional Modifier Low / Median / High Price $467.18 / $724.83 / $1,091.52	Professional		$467.18	$724.83	$1,091.52