Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.77 / $2,041.25 / $3,468.15	Facility		$437.77	$2,041.25	$3,468.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.90 / $990.90 / $1,901.93	Professional		$990.90	$990.90	$1,901.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $817.11 / $817.11 / $817.11	Facility		$817.11	$817.11	$817.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $149.93 / $333.33	Professional		$149.93	$149.93	$333.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,416.99 / $1,416.99 / $1,416.99	Facility		$1,416.99	$1,416.99	$1,416.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $295.79 / $952.44	Professional		$266.20	$295.79	$952.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,035.27 / $1,094.42 / $1,183.16	Facility		$1,035.27	$1,094.42	$1,183.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $665.53 / $665.53	Professional		$266.20	$665.53	$665.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $817.11 / $1,094.42 / $1,416.99	Facility		$817.11	$1,094.42	$1,416.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $333.33 / $813.42	Professional		$149.93	$333.33	$813.42
United Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $591.58 / $892.46	Professional		$295.79	$591.58	$892.46