Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $10,964.78 / $16,595.87	Facility		$1,659.59	$10,964.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $3,090.30	Professional		$602.56	$870.96	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,862.09	Professional		$758.58	$758.58	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $676.08 / $3,090.30	Facility		$616.60	$676.08	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $3,090.30	Professional		$1,202.26	$1,445.44	$3,090.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $3,090.30	Professional		$2,041.74	$2,290.87	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $691.83 / $4,466.84	Facility		$616.60	$691.83	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $537.03 / $1,862.09	Professional		$60.26	$537.03	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,479.11 / $4,466.84	Professional		$645.65	$1,479.11	$4,466.84