Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.88 / $6,541.00 / $13,413.92	Facility		$458.88	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $163.75 / $838.94	Professional		$87.64	$163.75	$838.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.46 / $199.07 / $500.24	Professional		$106.46	$199.07	$500.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.51 / $475.41 / $1,174.52	Facility		$88.51	$475.41	$1,174.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.37 / $507.36 / $1,056.83	Professional		$236.37	$507.36	$1,056.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $523.64 / $894.28	Professional		$304.20	$523.64	$894.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.93 / $475.41 / $1,174.52	Facility		$109.93	$475.41	$1,174.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $423.12 / $852.00	Professional		$172.37	$423.12	$852.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.13 / $427.99 / $1,057.88	Professional		$198.13	$427.99	$1,057.88