Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,412.54 / $2,398.83	Facility		$295.12	$1,412.54	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $660.69	Professional		$158.49	$190.55	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $891.25	Facility		$199.53	$199.53	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $630.96	Professional		$199.53	$199.53	$630.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $758.58 / $1,288.25	Facility		$199.53	$758.58	$1,288.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $954.99	Facility		$158.49	$549.54	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $398.11 / $602.56	Professional		$117.49	$398.11	$602.56