Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,511.89 / $3,981.07	Facility		$1,380.38	$2,511.89	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $1,071.52	Professional		$263.03	$302.00	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $2,290.87	Facility		$323.59	$323.59	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $323.59 / $1,047.13	Professional		$316.23	$323.59	$1,047.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,202.26 / $1,288.25	Facility		$1,122.02	$1,202.26	$1,288.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $891.25 / $1,548.82	Facility		$257.04	$891.25	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $323.59	Professional		$60.26	$60.26	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $645.65 / $977.24	Professional		$194.98	$645.65	$977.24