Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,235.94 / $5,495.41	Facility		$660.69	$3,235.94	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $1,513.56	Professional		$363.08	$436.52	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $2,137.96	Facility		$446.68	$446.68	$2,137.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $446.68 / $1,445.44	Professional		$436.52	$446.68	$1,445.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,737.80 / $2,137.96	Facility		$446.68	$1,737.80	$2,137.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,258.93 / $2,137.96	Facility		$363.08	$1,258.93	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $912.01 / $1,348.96	Professional		$269.15	$912.01	$1,348.96