Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.53 / $6,782.00 / $13,413.92	Facility		$730.53	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $1,239.02 / $3,887.25	Professional		$230.18	$1,239.02	$3,887.25
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $971.81 / $971.81 / $1,289.53	Professional	AS	$971.81	$971.81	$1,289.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.17 / $853.90 / $1,079.00	Professional		$629.17	$853.90	$1,079.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $242.03 / $1,239.02 / $1,734.63	Facility		$242.03	$1,239.02	$1,734.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $625.90 / $751.08 / $1,524.78	Professional		$625.90	$751.08	$1,524.78
Moda Health Facility/Professional Professional Modifier AS Low / Median / High Price $47.69 / $47.69 / $47.69	Professional	AS	$47.69	$47.69	$47.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $943.75 / $1,293.44 / $1,603.80	Professional		$943.75	$1,293.44	$1,603.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $242.03 / $1,239.02 / $1,734.63	Facility		$242.03	$1,239.02	$1,734.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $377.45 / $1,208.00 / $1,931.85	Professional		$377.45	$1,208.00	$1,931.85
United Facility/Professional Professional Modifier Low / Median / High Price $673.74 / $1,170.82 / $1,502.86	Professional		$673.74	$1,170.82	$1,502.86