Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.37 / $6,541.00 / $13,413.92	Facility		$732.37	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $244.86 / $1,209.84	Professional		$87.70	$244.86	$1,209.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.87 / $448.82 / $1,167.19	Professional		$264.87	$448.82	$1,167.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.86 / $572.78 / $1,693.79	Facility		$127.86	$572.78	$1,693.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.98 / $639.65 / $1,542.45	Professional		$257.98	$639.65	$1,542.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.75 / $583.77 / $1,398.25	Professional		$398.75	$583.77	$1,398.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.86 / $572.78 / $1,693.79	Facility		$127.86	$572.78	$1,693.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.87 / $560.00 / $1,398.25	Professional		$264.87	$560.00	$1,398.25
United Facility/Professional Professional Modifier Low / Median / High Price $616.98 / $930.78 / $1,403.63	Professional		$616.98	$930.78	$1,403.63