Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,040.45 / $10,900.00 / $19,105.09	Facility		$3,040.45	$10,900.00	$19,105.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.75 / $488.61 / $2,413.01	Professional		$310.75	$488.61	$2,413.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.01 / $653.22 / $1,474.38	Professional		$356.01	$653.22	$1,474.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $385.90 / $1,665.84 / $3,378.21	Facility		$385.90	$1,665.84	$3,378.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $829.69 / $1,517.04 / $3,045.00	Professional		$829.69	$1,517.04	$3,045.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $998.80 / $1,786.08 / $2,688.00	Professional		$998.80	$1,786.08	$2,688.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $377.10 / $1,665.84 / $3,378.21	Facility		$377.10	$1,665.84	$3,378.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $504.66 / $1,385.70 / $2,620.48	Professional		$504.66	$1,385.70	$2,620.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,165.82 / $1,190.20 / $2,856.48	Professional		$1,165.82	$1,190.20	$2,856.48