Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.49 / $6,541.00 / $13,413.92	Facility		$1,125.49	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.68 / $431.16 / $2,057.63	Professional		$210.68	$431.16	$2,057.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.00 / $538.51 / $1,245.48	Professional		$269.00	$538.51	$1,245.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.45 / $1,134.09 / $2,880.68	Facility		$261.45	$1,134.09	$2,880.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.12 / $1,165.44 / $2,522.10	Professional		$562.12	$1,165.44	$2,522.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.37 / $1,293.20 / $2,444.08	Professional		$743.37	$1,293.20	$2,444.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.45 / $1,134.09 / $2,880.68	Facility		$261.45	$1,134.09	$2,880.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $420.09 / $1,072.75 / $2,228.62	Professional		$420.09	$1,072.75	$2,228.62
United Facility/Professional Professional Modifier Low / Median / High Price $891.06 / $1,043.06 / $2,745.49	Professional		$891.06	$1,043.06	$2,745.49