Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.40 / $1,932.28 / $3,283.00	Facility		$414.40	$1,932.28	$3,283.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $938.00 / $938.00 / $1,800.40	Professional		$938.00	$938.00	$1,800.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $773.50 / $773.50 / $773.50	Facility		$773.50	$773.50	$773.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,341.34 / $1,341.34 / $1,341.34	Facility		$1,341.34	$1,341.34	$1,341.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $280.00 / $901.60	Professional		$280.00	$280.00	$901.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,036.00 / $1,120.00	Facility		$980.00	$1,036.00	$1,120.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $630.00 / $630.00	Professional		$252.00	$630.00	$630.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $773.50 / $1,036.00 / $1,341.34	Facility		$773.50	$1,036.00	$1,341.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $770.00 / $770.00	Professional		$252.00	$770.00	$770.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $560.00 / $844.82	Professional		$280.00	$560.00	$844.82