Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $10,715.19 / $14,125.38	Facility		$645.65	$10,715.19	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $977.24 / $2,884.03	Professional		$194.98	$977.24	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $3,981.07	Professional		$724.44	$724.44	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,258.93 / $5,248.07	Facility		$245.47	$1,258.93	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,737.80 / $7,585.78	Professional		$457.09	$1,737.80	$7,585.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,445.44 / $6,918.31	Professional		$831.76	$1,445.44	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,412.54 / $7,413.10	Facility		$380.19	$1,412.54	$7,413.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $309.03 / $3,981.07	Professional		$60.26	$309.03	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,479.11 / $5,128.61	Professional		$524.81	$1,479.11	$5,128.61