Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,888.44 / $14,125.38	Facility		$1,621.81	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,621.81	Professional		$512.86	$724.44	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,511.89	Professional		$1,318.26	$1,737.80	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,122.02 / $3,715.35	Facility		$512.86	$1,122.02	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,090.30	Professional		$1,318.26	$1,905.46	$3,090.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,311.31	Professional		$1,819.70	$2,454.71	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $831.76 / $3,090.30	Facility		$512.86	$831.76	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $776.25 / $1,737.80	Professional		$60.26	$776.25	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $2,398.83 / $3,090.30	Professional		$645.65	$2,398.83	$3,090.30