Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $2,070.30 / $3,517.50	Facility		$444.00	$2,070.30	$3,517.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,005.00 / $1,005.00 / $1,929.00	Professional		$1,005.00	$1,005.00	$1,929.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $828.75 / $828.75 / $828.75	Facility		$828.75	$828.75	$828.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.99 / $166.99 / $371.27	Professional		$166.99	$166.99	$371.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,437.15 / $1,437.15 / $1,437.15	Facility		$1,437.15	$1,437.15	$1,437.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $966.00	Professional		$300.00	$300.00	$966.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,110.00 / $1,318.04	Facility		$1,050.00	$1,110.00	$1,318.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $675.00 / $675.00	Professional		$270.00	$675.00	$675.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $828.75 / $1,155.00 / $1,437.15	Facility		$828.75	$1,155.00	$1,437.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.99 / $371.27 / $825.00	Professional		$166.99	$371.27	$825.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $600.00 / $905.16	Professional		$329.51	$600.00	$905.16