Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,737.80 / $2,951.21	Facility		$354.81	$1,737.80	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $812.83	Professional		$194.98	$234.42	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $371.54	Professional		$165.96	$165.96	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $1,096.48	Facility		$239.88	$239.88	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $776.25	Professional		$239.88	$239.88	$776.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $891.25 / $1,318.26	Facility		$239.88	$891.25	$1,318.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $660.69 / $1,148.15	Facility		$194.98	$660.69	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $371.54	Professional		$165.96	$239.88	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $478.63 / $724.44	Professional		$144.54	$478.63	$724.44