Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $7,079.46 / $14,125.38	Facility		$776.25	$7,079.46	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $1,071.52	Professional		$239.88	$389.05	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,659.59	Professional		$630.96	$933.25	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $588.84 / $1,819.70	Facility		$288.40	$588.84	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,819.70	Professional		$602.56	$1,000.00	$1,819.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $2,187.76	Professional		$891.25	$1,412.54	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $501.19 / $1,778.28	Facility		$288.40	$501.19	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $512.86 / $933.25	Professional		$60.26	$512.86	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,202.26 / $2,041.74	Professional		$371.54	$1,202.26	$2,041.74