Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,786.30 / $12,882.50	Facility		$1,621.81	$4,786.30	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $1,513.56	Professional		$354.81	$549.54	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,290.87	Professional		$954.99	$1,288.25	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,513.56 / $6,165.95	Facility		$354.81	$1,513.56	$6,165.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,412.54 / $2,630.27	Professional		$616.60	$1,412.54	$2,630.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $3,019.95	Professional		$1,348.96	$2,137.96	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $707.95 / $2,691.53	Facility		$416.87	$707.95	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $741.31 / $1,288.25	Professional		$60.26	$741.31	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,778.28 / $2,818.38	Professional		$512.86	$1,778.28	$2,818.38