Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $7,340.00 / $13,413.92	Facility		$1,040.08	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.77 / $1,577.48 / $1,764.05	Professional		$305.77	$1,577.48	$1,764.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.78 / $1,033.07 / $1,628.92	Professional		$714.78	$1,033.07	$1,628.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.45 / $1,577.48 / $2,469.67	Facility		$318.45	$1,577.48	$2,469.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $834.55 / $1,128.57 / $2,267.85	Professional		$834.55	$1,128.57	$2,267.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,205.09 / $1,668.80 / $2,082.00	Professional		$1,205.09	$1,668.80	$2,082.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.26 / $1,577.48 / $2,469.67	Facility		$344.26	$1,577.48	$2,469.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $689.56 / $1,569.00 / $2,118.19	Professional		$689.56	$1,569.00	$2,118.19
United Facility/Professional Professional Modifier Low / Median / High Price $913.62 / $1,386.80 / $2,022.37	Professional		$913.62	$1,386.80	$2,022.37