Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.67 / $498.22 / $2,414.67	Professional		$456.67	$498.22	$2,414.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.70 / $1,448.31 / $3,006.57	Professional		$467.70	$1,448.31	$3,006.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $462.26 / $2,414.67 / $3,452.99	Facility		$462.26	$2,414.67	$3,452.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.60 / $609.42 / $609.42	Professional		$426.60	$609.42	$609.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.53 / $2,060.80 / $3,335.80	Professional		$1,167.53	$2,060.80	$3,335.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $441.38 / $2,414.67 / $3,452.99	Facility		$441.38	$2,414.67	$3,452.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.39 / $1,828.75 / $2,861.09	Professional		$431.39	$1,828.75	$2,861.09
United Facility/Professional Professional Modifier Low / Median / High Price $616.36 / $1,286.92 / $2,950.32	Professional		$616.36	$1,286.92	$2,950.32