Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.53 / $496.95 / $2,409.54	Professional		$450.53	$496.95	$2,409.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.24 / $690.76 / $1,529.83	Professional		$442.24	$690.76	$1,529.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $456.63 / $2,409.54 / $3,373.36	Facility		$456.63	$2,409.54	$3,373.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,665.21 / $3,070.93	Professional		$1,120.00	$1,665.21	$3,070.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,209.39 / $2,137.60 / $3,417.49	Professional		$1,209.39	$2,137.60	$3,417.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.63 / $2,409.54 / $3,373.36	Facility		$456.63	$2,409.54	$3,373.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $543.41 / $1,646.40 / $2,963.67	Professional		$543.41	$1,646.40	$2,963.67
United Facility/Professional Professional Modifier Low / Median / High Price $611.25 / $1,223.85 / $3,375.82	Professional		$611.25	$1,223.85	$3,375.82