Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,515.08 / $3,668.04 / $10,900.00	Facility		$1,515.08	$3,668.04	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $136.53 / $893.12	Professional		$72.68	$136.53	$893.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.51 / $238.51 / $392.85	Professional		$238.51	$238.51	$392.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.18 / $655.51 / $1,250.36	Facility		$108.18	$655.51	$1,250.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.20 / $536.39 / $1,120.19	Professional		$206.20	$536.39	$1,120.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.55 / $455.18 / $793.88	Professional		$341.55	$455.18	$793.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.18 / $655.51 / $1,250.36	Facility		$108.18	$655.51	$1,250.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.10 / $392.85 / $793.88	Professional		$169.10	$392.85	$793.88
United Facility/Professional Professional Modifier Low / Median / High Price $314.27 / $316.12 / $785.70	Professional		$314.27	$316.12	$785.70