Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.15 / $10,175.36 / $13,413.92	Facility		$1,278.15	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.50 / $476.44 / $2,156.51	Professional		$301.50	$476.44	$2,156.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.72 / $791.73 / $1,436.13	Professional		$596.72	$791.73	$1,436.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,641.12 / $2,297.57 / $3,019.11	Facility		$1,641.12	$2,297.57	$3,019.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $846.68 / $1,017.45 / $1,356.60	Professional		$846.68	$1,017.45	$1,356.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.59 / $1,480.50 / $1,963.50	Professional		$835.59	$1,480.50	$1,963.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,641.12 / $2,297.57 / $3,019.11	Facility		$1,641.12	$2,297.57	$3,019.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $621.78 / $1,288.30 / $2,358.58	Professional		$621.78	$1,288.30	$2,358.58
United Facility/Professional Professional Modifier Low / Median / High Price $496.28 / $1,148.90 / $1,733.24	Professional		$496.28	$1,148.90	$1,733.24