Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.48 / $6,541.00 / $13,413.92	Facility		$813.48	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.32 / $797.03 / $1,379.69	Professional		$154.32	$797.03	$1,379.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.83 / $701.76 / $1,313.23	Professional		$400.83	$701.76	$1,313.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.22 / $797.03 / $1,931.57	Facility		$164.22	$797.03	$1,931.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $417.28 / $800.04 / $1,760.85	Professional		$417.28	$800.04	$1,760.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.00 / $1,005.90 / $1,611.86	Professional		$645.00	$1,005.90	$1,611.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.78 / $876.73 / $1,931.57	Facility		$217.78	$876.73	$1,931.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $911.90 / $1,587.25	Professional		$380.00	$911.90	$1,587.25
United Facility/Professional Professional Modifier Low / Median / High Price $708.82 / $1,214.86 / $1,559.40	Professional		$708.82	$1,214.86	$1,559.40