Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,580.56 / $7,750.00 / $13,413.92	Facility		$1,580.56	$7,750.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.18 / $655.79 / $2,680.67	Professional		$356.18	$655.79	$2,680.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.02 / $1,376.70 / $2,454.35	Professional		$949.02	$1,376.70	$2,454.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $401.14 / $1,899.97 / $3,752.94	Facility		$401.14	$1,899.97	$3,752.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $959.88 / $1,659.39 / $3,334.50	Professional		$959.88	$1,659.39	$3,334.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,483.75 / $2,164.00 / $3,264.00	Professional		$1,483.75	$2,164.00	$3,264.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $492.09 / $2,089.96 / $3,752.94	Facility		$492.09	$2,089.96	$3,752.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $820.91 / $2,067.19 / $3,201.90	Professional		$820.91	$2,067.19	$3,201.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,456.48 / $2,912.96 / $3,204.26	Professional		$1,456.48	$2,912.96	$3,204.26