Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $4,777.80 / $11,709.00	Facility		$1,872.00	$4,777.80	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $658.43 / $1,777.82	Professional		$99.39	$658.43	$1,777.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.87 / $547.52 / $1,684.10	Professional		$334.87	$547.52	$1,684.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.88 / $724.27 / $2,488.94	Facility		$161.88	$724.27	$2,488.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $352.32 / $758.45 / $2,160.60	Professional		$352.32	$758.45	$2,160.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.25 / $762.00 / $2,880.15	Professional		$481.25	$762.00	$2,880.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.88 / $921.80 / $2,488.94	Facility		$161.88	$921.80	$2,488.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $383.75 / $717.26 / $2,880.15	Professional		$383.75	$717.26	$2,880.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,021.86 / $2,043.72 / $2,248.09	Professional		$1,021.86	$2,043.72	$2,248.09