Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $5,888.44 / $14,125.38	Facility		$380.19	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $398.11	Professional		$123.03	$199.53	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $630.96	Professional		$144.54	$239.88	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $234.42 / $676.08	Facility		$144.54	$234.42	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $549.54 / $1,096.48	Professional		$295.12	$549.54	$1,096.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $691.83 / $1,122.02	Professional		$371.54	$691.83	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $234.42 / $676.08	Facility		$154.88	$234.42	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $288.40 / $630.96	Professional		$123.03	$288.40	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $331.13 / $1,023.29	Professional		$128.82	$331.13	$1,023.29