Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.79 / $6,541.00 / $13,413.92	Facility		$837.79	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.29 / $1,281.71 / $1,420.92	Professional		$241.29	$1,281.71	$1,420.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.26 / $842.44 / $1,284.08	Professional		$632.26	$842.44	$1,284.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.52 / $1,281.71 / $1,989.29	Facility		$244.52	$1,281.71	$1,989.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $573.35 / $766.62 / $1,540.50	Professional		$573.35	$766.62	$1,540.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $886.25 / $1,306.83 / $1,612.65	Professional		$886.25	$1,306.83	$1,612.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.52 / $1,281.71 / $1,989.29	Facility		$244.52	$1,281.71	$1,989.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $544.50 / $1,306.83 / $1,688.70	Professional		$544.50	$1,306.83	$1,688.70
United Facility/Professional Professional Modifier Low / Median / High Price $744.16 / $1,122.64 / $1,637.15	Professional		$744.16	$1,122.64	$1,637.15