Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.37 / $6,541.00 / $13,413.92	Facility		$262.37	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $123.37 / $433.43	Professional		$63.75	$123.37	$433.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.38 / $240.77 / $395.98	Professional		$177.38	$240.77	$395.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.01 / $368.42 / $606.79	Facility		$86.01	$368.42	$606.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.20 / $272.67 / $547.95	Professional		$168.20	$272.67	$547.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $379.35 / $526.12	Professional		$260.00	$379.35	$526.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.01 / $368.42 / $606.79	Facility		$86.01	$368.42	$606.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $365.75 / $530.00	Professional		$143.69	$365.75	$530.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $240.22 / $546.50	Professional		$137.96	$240.22	$546.50