Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.47 / $1,760.11 / $2,990.47	Facility		$377.47	$1,760.11	$2,990.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.42 / $854.42 / $1,639.97	Professional		$854.42	$854.42	$1,639.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $704.57 / $704.57 / $704.57	Facility		$704.57	$704.57	$704.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,221.82 / $1,221.82 / $1,221.82	Facility		$1,221.82	$1,221.82	$1,221.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.05 / $255.05 / $821.26	Professional		$255.05	$255.05	$821.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $892.68 / $943.69 / $1,041.04	Facility		$892.68	$943.69	$1,041.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.55 / $573.86 / $573.86	Professional		$229.55	$573.86	$573.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $704.57 / $981.94 / $1,221.82	Facility		$704.57	$981.94	$1,221.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.55 / $701.39 / $701.39	Professional		$229.55	$701.39	$701.39
United Facility/Professional Professional Modifier Low / Median / High Price $212.14 / $510.10 / $769.54	Professional		$212.14	$510.10	$769.54