Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $562.34	Professional		$128.82	$190.55	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $524.81	Professional		$331.13	$489.78	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $302.00 / $645.65	Facility		$177.83	$302.00	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $436.52 / $954.99	Professional		$389.05	$436.52	$954.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $602.56 / $1,000.00	Professional		$562.34	$602.56	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $263.03 / $933.25	Facility		$128.82	$263.03	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $338.84 / $489.78	Professional		$151.36	$338.84	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $1,148.15	Professional		$398.11	$467.74	$1,148.15