Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.07 / $349.17 / $1,782.83	Professional		$325.07	$349.17	$1,782.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.38 / $508.52 / $1,116.96	Professional		$321.38	$508.52	$1,116.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $328.30 / $1,782.83 / $2,495.96	Facility		$328.30	$1,782.83	$2,495.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $811.10 / $1,230.69 / $2,278.16	Professional		$811.10	$1,230.69	$2,278.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $872.10 / $1,529.60 / $2,474.90	Professional		$872.10	$1,529.60	$2,474.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $328.30 / $1,782.83 / $2,495.96	Facility		$328.30	$1,782.83	$2,495.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $401.16 / $1,192.80 / $2,151.94	Professional		$401.16	$1,192.80	$2,151.94
United Facility/Professional Professional Modifier Low / Median / High Price $447.82 / $893.56 / $2,464.73	Professional		$447.82	$893.56	$2,464.73