Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.40 / $7,340.00 / $14,552.94	Facility		$636.40	$7,340.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $689.78 / $1,114.77	Professional		$160.50	$689.78	$1,114.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.38 / $486.38 / $677.03	Professional		$486.38	$486.38	$677.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.53 / $965.69 / $1,464.01	Facility		$176.53	$965.69	$1,464.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $932.40 / $1,471.69	Professional		$359.05	$932.40	$1,471.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.50 / $853.75 / $1,219.16	Professional		$532.50	$853.75	$1,219.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.53 / $965.69 / $1,464.01	Facility		$176.53	$965.69	$1,464.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.67 / $768.75 / $1,183.26	Professional		$295.67	$768.75	$1,183.26
United Facility/Professional Professional Modifier Low / Median / High Price $495.36 / $541.62 / $1,354.05	Professional		$495.36	$541.62	$1,354.05