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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $467.74	Professional		$371.54	$371.54	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $323.59 / $1,445.44	Facility		$169.82	$323.59	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $977.24 / $1,071.52	Professional		$316.23	$977.24	$1,071.52
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 $537.03 / $724.44 / $724.44	Professional		$537.03	$724.44	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $257.04 / $588.84	Facility		$169.82	$257.04	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $323.59 / $338.84	Professional		$60.26	$323.59	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $645.65 / $977.24	Professional		$162.18	$645.65	$977.24