Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.72 / $958.50 / $11,709.00	Facility		$294.72	$958.50	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $132.62 / $1,047.33	Professional		$52.49	$132.62	$1,047.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $191.82 / $902.93	Professional		$93.42	$191.82	$902.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.75 / $224.57 / $383.70	Facility		$70.75	$224.57	$383.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.71 / $461.96 / $1,467.46	Professional		$151.71	$461.96	$1,467.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.75 / $332.00 / $1,063.97	Professional		$218.75	$332.00	$1,063.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.75 / $253.62 / $1,434.86	Facility		$70.75	$253.62	$1,434.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $325.49 / $907.50	Professional		$144.88	$325.49	$907.50
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.58 / $466.56 / $827.61	Professional		$199.58	$466.56	$827.61