Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $6,606.93 / $14,125.38	Facility		$1,071.52	$6,606.93	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $1,071.52	Professional		$354.81	$501.19	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,137.96	Professional		$870.96	$1,174.90	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $891.25 / $3,235.94	Facility		$407.38	$891.25	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $2,454.71	Professional		$870.96	$1,380.38	$2,454.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $2,691.53	Professional		$1,288.25	$2,041.74	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $794.33 / $2,454.71	Facility		$426.58	$794.33	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $645.65 / $1,174.90	Professional		$60.26	$645.65	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,659.59 / $2,511.89	Professional		$616.60	$1,659.59	$2,511.89