Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.43 / $4,473.04 / $10,900.00	Facility		$427.43	$4,473.04	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $231.62 / $1,158.34	Professional		$96.77	$231.62	$1,158.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $243.52 / $664.89	Professional		$109.91	$243.52	$664.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.03 / $522.54 / $1,621.69	Facility		$99.03	$522.54	$1,621.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $267.10 / $651.00 / $1,458.55	Professional		$267.10	$651.00	$1,458.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.20 / $628.86 / $1,258.25	Professional		$337.20	$628.86	$1,258.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.68 / $522.54 / $1,621.69	Facility		$115.68	$522.54	$1,621.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $515.88 / $1,166.00	Professional		$213.00	$515.88	$1,166.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.28 / $575.00 / $1,467.16	Professional		$496.28	$575.00	$1,467.16