Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.80 / $1,337.03 / $10,900.00	Facility		$193.80	$1,337.03	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $205.79 / $978.34	Professional		$132.90	$205.79	$978.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.76 / $289.92 / $597.57	Professional		$161.76	$289.92	$597.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $709.17 / $1,369.68	Facility		$163.47	$709.17	$1,369.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $351.48 / $606.29 / $1,213.80	Professional		$351.48	$606.29	$1,213.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.64 / $742.66 / $1,120.50	Professional		$417.64	$742.66	$1,120.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $709.17 / $1,369.68	Facility		$163.47	$709.17	$1,369.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.45 / $582.00 / $1,086.00	Professional		$220.45	$582.00	$1,086.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.47 / $500.90 / $1,319.59	Professional		$423.47	$500.90	$1,319.59