Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.41 / $6,825.52 / $13,413.92	Facility		$286.41	$6,825.52	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.47 / $1,640.78 / $1,811.56	Professional		$315.47	$1,640.78	$1,811.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.26 / $1,079.81 / $1,655.07	Professional		$818.26	$1,079.81	$1,655.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $1,640.78 / $2,536.17	Facility		$344.00	$1,640.78	$2,536.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $853.15 / $1,141.17 / $2,293.19	Professional		$853.15	$1,141.17	$2,293.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.40 / $1,769.25 / $2,120.00	Professional		$1,245.40	$1,769.25	$2,120.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $350.90 / $1,640.78 / $2,536.17	Facility		$350.90	$1,640.78	$2,536.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $710.19 / $1,693.44 / $2,189.03	Professional		$710.19	$1,693.44	$2,189.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,200.82 / $3,200.82 / $3,200.82	Facility		$3,200.82	$3,200.82	$3,200.82
United Facility/Professional Professional Modifier Low / Median / High Price $948.58 / $1,660.02 / $2,086.88	Professional		$948.58	$1,660.02	$2,086.88