Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.08 / $6,541.00 / $13,413.92	Facility		$384.08	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $497.19 / $814.88	Professional		$91.28	$497.19	$814.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.33 / $308.33 / $493.93	Professional		$308.33	$308.33	$493.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.81 / $696.07 / $1,032.81	Facility		$108.81	$696.07	$1,032.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $211.05 / $548.10 / $893.97	Professional		$211.05	$548.10	$893.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.65 / $532.50 / $856.18	Professional		$349.65	$532.50	$856.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.81 / $696.07 / $1,032.81	Facility		$108.81	$696.07	$1,032.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.28 / $511.25 / $932.28	Professional		$198.28	$511.25	$932.28
United Facility/Professional Professional Modifier Low / Median / High Price $366.38 / $592.71 / $892.56	Professional		$366.38	$592.71	$892.56