Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,606.93 / $14,125.38	Facility		$1,737.80	$6,606.93	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $2,454.71	Professional		$457.09	$676.08	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,905.46	Professional		$549.54	$549.54	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $776.25 / $3,467.37	Facility		$489.78	$776.25	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,548.82 / $2,511.89	Professional		$912.01	$1,548.82	$2,511.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,019.95	Professional		$1,621.81	$2,344.23	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $776.25 / $3,467.37	Facility		$489.78	$776.25	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $549.54 / $1,445.44	Professional		$60.26	$549.54	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,174.90 / $3,548.13	Professional		$575.44	$1,174.90	$3,548.13