Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.14 / $1,301.82 / $1,301.82	Professional		$239.14	$1,301.82	$1,301.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.64 / $927.43 / $1,107.08	Professional		$677.64	$927.43	$1,107.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.19 / $1,301.82 / $1,822.55	Facility		$244.19	$1,301.82	$1,822.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $626.73 / $752.07 / $1,526.75	Professional		$626.73	$752.07	$1,526.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.50 / $1,130.43 / $1,560.00	Professional		$841.50	$1,130.43	$1,560.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.19 / $1,301.82 / $1,822.55	Facility		$244.19	$1,301.82	$1,822.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $405.59 / $1,147.50 / $1,722.89	Professional		$405.59	$1,147.50	$1,722.89
United Facility/Professional Professional Modifier Low / Median / High Price $731.58 / $1,119.29 / $1,687.91	Professional		$731.58	$1,119.29	$1,687.91