Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.89 / $9,577.00 / $13,413.92	Facility		$1,037.89	$9,577.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $355.76 / $1,641.43	Professional		$202.90	$355.76	$1,641.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.80 / $692.80 / $1,095.28	Professional		$692.80	$692.80	$1,095.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.54 / $1,312.56 / $2,298.00	Facility		$250.54	$1,312.56	$2,298.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $481.15 / $1,249.50 / $2,397.51	Professional		$481.15	$1,249.50	$2,397.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.20 / $1,284.48 / $1,881.67	Professional		$799.20	$1,284.48	$1,881.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.54 / $1,312.56 / $2,298.00	Facility		$250.54	$1,312.56	$2,298.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $417.59 / $1,114.00 / $1,881.67	Professional		$417.59	$1,114.00	$1,881.67
United Facility/Professional Professional Modifier Low / Median / High Price $764.14 / $1,314.33 / $1,757.52	Professional		$764.14	$1,314.33	$1,757.52