Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $232.80 / $1,127.10	Professional		$200.62	$232.80	$1,127.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.28 / $769.67 / $963.31	Professional		$565.28	$769.67	$963.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $212.74 / $1,127.10 / $1,577.95	Facility		$212.74	$1,127.10	$1,577.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.08 / $658.89 / $1,337.63	Professional		$549.08	$658.89	$1,337.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $827.50 / $1,138.64 / $1,352.00	Professional		$827.50	$1,138.64	$1,352.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.74 / $1,127.10 / $1,577.95	Facility		$212.74	$1,127.10	$1,577.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.55 / $1,059.20 / $1,463.00	Professional		$342.55	$1,059.20	$1,463.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.74 / $1,077.55 / $1,354.63	Professional		$615.74	$1,077.55	$1,354.63