Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.21 / $6,541.00 / $13,413.92	Facility		$657.21	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.24 / $250.46 / $1,201.53	Professional		$133.24	$250.46	$1,201.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $297.85 / $737.59	Professional		$158.72	$297.85	$737.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.55 / $723.52 / $1,682.14	Facility		$134.55	$723.52	$1,682.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $362.23 / $735.00 / $1,532.69	Professional		$362.23	$735.00	$1,532.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.14 / $794.00 / $1,390.00	Professional		$463.14	$794.00	$1,390.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.48 / $723.52 / $1,682.14	Facility		$168.48	$723.52	$1,682.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.58 / $641.53 / $1,352.00	Professional		$262.58	$641.53	$1,352.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.66 / $617.76 / $1,627.64	Professional		$524.66	$617.76	$1,627.64