Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,763.38 / $7,340.00 / $13,413.92	Facility		$1,763.38	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.24 / $635.29 / $2,975.23	Professional		$296.24	$635.29	$2,975.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.57 / $1,068.78 / $1,951.56	Professional		$581.57	$1,068.78	$1,951.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,596.10 / $2,282.42 / $4,165.32	Facility		$1,596.10	$2,282.42	$4,165.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $769.85 / $923.82 / $1,864.14	Professional		$769.85	$923.82	$1,864.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $784.80 / $1,404.80 / $2,685.56	Professional		$784.80	$1,404.80	$2,685.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,596.10 / $2,282.42 / $4,165.32	Facility		$1,596.10	$2,282.42	$4,165.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.88 / $1,401.00 / $2,649.00	Professional		$602.88	$1,401.00	$2,649.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.07 / $1,561.24 / $2,355.29	Professional		$671.07	$1,561.24	$2,355.29