Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.39 / $6,541.00 / $13,413.92	Facility		$334.39	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $388.86 / $552.41	Professional		$75.64	$388.86	$552.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.47 / $287.23 / $514.16	Professional		$203.47	$287.23	$514.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.57 / $427.75 / $773.37	Facility		$100.57	$427.75	$773.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.33 / $352.26 / $707.85	Professional		$197.33	$352.26	$707.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $453.75 / $654.00	Professional		$300.00	$453.75	$654.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.57 / $427.75 / $773.37	Facility		$100.57	$427.75	$773.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.57 / $453.75 / $652.00	Professional		$173.57	$453.75	$652.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.42 / $451.71 / $681.18	Professional		$299.42	$451.71	$681.18