Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.63 / $2,064.73 / $2,846.70	Facility		$403.63	$2,064.73	$2,846.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.49 / $264.83 / $846.00	Professional		$135.49	$264.83	$846.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.38 / $378.29 / $518.50	Professional		$275.38	$378.29	$518.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.82 / $363.45 / $519.73	Facility		$136.82	$363.45	$519.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.58 / $477.04 / $1,031.31	Professional		$259.58	$477.04	$1,031.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.30 / $618.29 / $1,005.73	Professional		$429.30	$618.29	$1,005.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.82 / $363.45 / $508.83	Facility		$136.82	$363.45	$508.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.23 / $580.90 / $1,078.14	Professional		$214.23	$580.90	$1,078.14
United Facility/Professional Professional Modifier Low / Median / High Price $414.80 / $414.80 / $750.21	Professional		$414.80	$414.80	$750.21