Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,202.26 / $6,606.93	Facility		$776.25	$1,202.26	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $524.81	Professional		$97.72	$208.93	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $295.12 / $660.69	Professional		$91.20	$295.12	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $229.09 / $549.54	Facility		$97.72	$229.09	$549.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $426.58 / $741.31	Professional		$181.97	$426.58	$741.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $1,047.13	Professional		$331.13	$549.54	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $199.53 / $426.58	Facility		$89.13	$199.53	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $223.87 / $524.81	Professional		$85.11	$223.87	$524.81
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 $239.88 / $489.78 / $1,122.02	Professional		$239.88	$489.78	$1,122.02