Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.70 / $10,175.36 / $13,413.92	Facility		$1,516.70	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.32 / $551.24 / $2,572.37	Professional		$313.32	$551.24	$2,572.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.05 / $1,327.02 / $2,337.85	Professional		$903.05	$1,327.02	$2,337.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $401.56 / $1,798.84 / $3,601.32	Facility		$401.56	$1,798.84	$3,601.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $906.50 / $1,601.16 / $3,217.50	Professional		$906.50	$1,601.16	$3,217.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,401.25 / $2,062.00 / $3,164.00	Professional		$1,401.25	$2,062.00	$3,164.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.23 / $1,978.72 / $3,601.32	Facility		$460.23	$1,978.72	$3,601.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $790.38 / $1,967.50 / $3,084.90	Professional		$790.38	$1,967.50	$3,084.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,407.84 / $2,412.94 / $3,097.25	Professional		$1,407.84	$2,412.94	$3,097.25