Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.13 / $425.13 / $425.13	Facility		$425.13	$425.13	$425.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.20 / $468.20 / $671.83	Professional		$468.20	$468.20	$671.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,806.02 / $13,806.02 / $13,806.02	Facility		$13,806.02	$13,806.02	$13,806.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.43 / $428.14 / $565.72	Professional		$254.43	$428.14	$565.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.85 / $183.85 / $669.53	Facility		$183.85	$183.85	$669.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $397.85 / $477.42 / $976.53	Professional		$397.85	$477.42	$976.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.00 / $689.00 / $1,050.00	Professional		$615.00	$689.00	$1,050.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.85 / $220.62 / $13,806.02	Facility		$183.85	$220.62	$13,806.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.59 / $551.30 / $994.71	Professional		$216.59	$551.30	$994.71
United Facility/Professional Professional Modifier Low / Median / High Price $366.86 / $522.65 / $1,008.87	Professional		$366.86	$522.65	$1,008.87