Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.35 / $6,541.00 / $13,413.92	Facility		$1,292.35	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.75 / $487.56 / $2,163.42	Professional		$280.75	$487.56	$2,163.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.71 / $1,036.71 / $1,428.09	Professional		$1,036.71	$1,036.71	$1,428.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $385.28 / $2,163.42 / $3,028.80	Facility		$385.28	$2,163.42	$3,028.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $799.78 / $2,076.90 / $2,979.19	Professional		$799.78	$2,076.90	$2,979.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,335.15 / $1,844.00 / $2,598.00	Professional		$1,335.15	$1,844.00	$2,598.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $385.28 / $2,163.42 / $3,028.80	Facility		$385.28	$2,163.42	$3,028.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $659.25 / $1,679.40 / $2,616.00	Professional		$659.25	$1,679.40	$2,616.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,724.10 / $5,724.10 / $5,724.10	Facility		$5,724.10	$5,724.10	$5,724.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,125.83 / $1,142.48 / $1,723.55	Professional		$1,125.83	$1,142.48	$1,723.55