Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $6,606.93 / $16,595.87	Facility		$1,621.81	$6,606.93	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,621.81	Professional		$478.63	$676.08	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,344.23	Professional		$1,318.26	$1,778.28	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,905.46 / $3,715.35	Facility		$489.78	$1,905.46	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,818.38	Professional		$1,288.25	$1,862.09	$2,818.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,090.30	Professional		$1,737.80	$2,290.87	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $851.14 / $3,715.35	Facility		$489.78	$851.14	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $741.31 / $1,778.28	Professional		$60.26	$741.31	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $2,137.96 / $3,090.30	Professional		$512.86	$2,137.96	$3,090.30