Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,019.95 / $14,125.38	Facility		$870.96	$3,019.95	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $616.60	Professional		$169.82	$302.00	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $954.99	Professional		$199.53	$323.59	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $346.74 / $1,071.52	Facility		$173.78	$346.74	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $851.14 / $1,737.80	Professional		$416.87	$851.14	$1,737.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $977.24 / $1,584.89	Professional		$524.81	$977.24	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $331.13 / $912.01	Facility		$177.83	$331.13	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $398.11 / $954.99	Professional		$169.82	$398.11	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $457.09 / $1,412.54	Professional		$181.97	$457.09	$1,412.54