Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.88 / $763.88 / $763.88	Facility		$763.88	$763.88	$763.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.27 / $841.27 / $1,826.23	Professional		$841.27	$841.27	$1,826.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.84 / $920.84 / $944.47	Professional		$920.84	$920.84	$944.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,203.02 / $1,203.02 / $1,203.02	Facility		$1,203.02	$1,203.02	$1,203.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $424.18 / $818.04 / $1,475.25	Professional		$424.18	$818.04	$1,475.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,053.75 / $1,167.75 / $1,542.69	Professional		$1,053.75	$1,167.75	$1,542.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,203.02 / $1,203.02 / $1,203.02	Facility		$1,203.02	$1,203.02	$1,203.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.18 / $1,116.25 / $2,074.78	Professional		$424.18	$1,116.25	$2,074.78
United Facility/Professional Professional Modifier Low / Median / High Price $412.81 / $736.68 / $1,105.02	Professional		$412.81	$736.68	$1,105.02