Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.38 / $835.80 / $3,127.51	Facility		$323.38	$835.80	$3,127.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.51 / $535.66 / $1,396.21	Professional		$475.51	$535.66	$1,396.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,151.36 / $1,151.36 / $1,151.36	Facility		$1,151.36	$1,151.36	$1,151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.67 / $305.67 / $644.28	Professional		$305.67	$305.67	$644.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $655.09 / $831.25 / $1,996.58	Facility		$655.09	$831.25	$1,996.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $1,342.03	Professional		$416.78	$416.78	$1,342.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,271.00 / $2,271.00 / $2,688.43	Facility		$2,271.00	$2,271.00	$2,688.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $937.76 / $937.76	Professional		$375.10	$937.76	$937.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,151.36 / $1,996.58 / $2,688.43	Facility		$1,151.36	$1,996.58	$2,688.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.67 / $644.28 / $1,146.15	Professional		$305.67	$644.28	$1,146.15
United Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $833.56 / $1,257.51	Professional		$416.78	$833.56	$1,257.51