Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.66 / $6,541.00 / $13,413.92	Facility		$456.66	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $170.49 / $834.86	Professional		$61.70	$170.49	$834.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $158.25 / $452.95	Professional		$76.13	$158.25	$452.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $341.39 / $1,168.80	Facility		$79.20	$341.39	$1,168.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $174.26 / $423.45 / $1,039.50	Professional		$174.26	$423.45	$1,039.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.60 / $417.01 / $820.60	Professional		$225.60	$417.01	$820.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $341.39 / $1,168.80	Facility		$79.20	$341.39	$1,168.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $343.69 / $746.00	Professional		$133.46	$343.69	$746.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.54 / $365.99 / $1,087.08	Professional		$322.54	$365.99	$1,087.08