Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.34 / $10,900.00 / $14,552.94	Facility		$490.34	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.36 / $183.96 / $896.44	Professional		$166.36	$183.96	$896.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $261.85 / $576.83	Professional		$162.69	$261.85	$576.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.64 / $896.44 / $1,255.02	Facility		$168.64	$896.44	$1,255.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $619.91 / $1,143.61	Professional		$410.00	$619.91	$1,143.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.90 / $790.35 / $1,251.02	Professional		$445.90	$790.35	$1,251.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.64 / $896.44 / $1,255.02	Facility		$168.64	$896.44	$1,255.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.47 / $602.40 / $1,101.61	Professional		$198.47	$602.40	$1,101.61
United Facility/Professional Professional Modifier Low / Median / High Price $212.77 / $461.46 / $1,272.85	Professional		$212.77	$461.46	$1,272.85