Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.28 / $10,175.36 / $13,413.92	Facility		$524.28	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $205.74 / $877.65	Professional		$103.71	$205.74	$877.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.68 / $381.68 / $575.35	Professional		$381.68	$381.68	$575.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $800.37 / $1,228.71	Facility		$143.87	$800.37	$1,228.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $296.77 / $770.70 / $1,209.83	Professional		$296.77	$770.70	$1,209.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.10 / $713.75 / $1,078.00	Professional		$494.10	$713.75	$1,078.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $800.37 / $1,228.71	Facility		$143.87	$800.37	$1,228.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $254.60 / $652.24 / $1,094.00	Professional		$254.60	$652.24	$1,094.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.28 / $465.64 / $694.38	Professional		$460.28	$465.64	$694.38