Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.05 / $9,285.00 / $13,413.92	Facility		$1,472.05	$9,285.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.89 / $868.67 / $2,496.66	Professional		$346.89	$868.67	$2,496.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.13 / $1,271.86 / $2,295.42	Professional		$913.13	$1,271.86	$2,295.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $362.27 / $1,839.37 / $3,495.32	Facility		$362.27	$1,839.37	$3,495.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $946.13 / $1,567.20 / $3,149.25	Professional		$946.13	$1,567.20	$3,149.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,462.50 / $2,112.00 / $3,034.00	Professional		$1,462.50	$2,112.00	$3,034.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $482.25 / $2,023.31 / $3,495.32	Facility		$482.25	$2,023.31	$3,495.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $775.50 / $2,005.00 / $2,976.90	Professional		$775.50	$2,005.00	$2,976.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,342.80 / $2,301.46 / $2,954.16	Professional		$1,342.80	$2,301.46	$2,954.16