Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $12,022.64 / $16,595.87	Facility		$117.49	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $158.49	Professional		$36.31	$48.98	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $131.83 / $134.90	Professional		$40.74	$131.83	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $63.10 / $177.83	Facility		$39.81	$63.10	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $208.93	Professional		$87.10	$104.71	$208.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $218.78	Professional		$138.04	$154.88	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $53.70 / $251.19	Facility		$36.31	$53.70	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $75.86 / $102.33	Professional		$40.74	$75.86	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $165.96	Professional		$97.72	$104.71	$165.96