Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $1,909.68 / $7,063.06	Professional		$156.66	$1,909.68	$7,063.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.42 / $531.42 / $4,888.02	Professional		$531.42	$531.42	$4,888.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $187.47 / $1,236.15 / $9,888.28	Facility		$187.47	$1,236.15	$9,888.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $433.77 / $1,230.00 / $8,061.90	Professional		$433.77	$1,230.00	$8,061.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.75 / $990.00 / $9,167.86	Professional		$600.75	$990.00	$9,167.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.47 / $1,236.15 / $9,888.28	Facility		$187.47	$1,236.15	$9,888.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $556.25 / $1,317.92 / $10,606.50	Professional		$556.25	$1,317.92	$10,606.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,501.25 / $5,865.63 / $8,869.26	Professional		$2,501.25	$5,865.63	$8,869.26