Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.90 / $677.90 / $688.63	Facility		$677.90	$677.90	$688.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.13 / $256.45 / $554.34	Professional		$202.13	$256.45	$554.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.26 / $646.59 / $886.94	Professional		$564.26	$646.59	$886.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.55 / $554.34 / $848.14	Facility		$244.55	$554.34	$848.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $598.40 / $718.08 / $1,107.54	Professional		$598.40	$718.08	$1,107.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.58 / $925.00 / $1,289.29	Professional		$344.58	$925.00	$1,289.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.60 / $554.34 / $848.14	Facility		$240.60	$554.34	$848.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.00 / $639.02 / $1,282.75	Professional		$342.00	$639.02	$1,282.75
United Facility/Professional Professional Modifier Low / Median / High Price $640.10 / $709.54 / $1,531.79	Professional		$640.10	$709.54	$1,531.79