Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.66 / $7,340.00 / $13,413.92	Facility		$1,152.66	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.64 / $425.34 / $1,954.97	Professional		$259.64	$425.34	$1,954.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.84 / $985.60 / $1,823.32	Professional		$712.84	$985.60	$1,823.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $284.73 / $1,442.63 / $2,736.96	Facility		$284.73	$1,442.63	$2,736.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $746.40 / $1,081.38 / $2,449.19	Professional		$746.40	$1,081.38	$2,449.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,153.75 / $1,680.54 / $2,324.60	Professional		$1,153.75	$1,680.54	$2,324.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $384.59 / $1,586.89 / $2,736.96	Facility		$384.59	$1,586.89	$2,736.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $622.19 / $1,577.50 / $2,294.00	Professional		$622.19	$1,577.50	$2,294.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,021.46 / $1,787.56 / $2,247.21	Professional		$1,021.46	$1,787.56	$2,247.21