Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,078.07 / $2,475.26	Facility		$225.00	$1,078.07	$2,475.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.46 / $862.46 / $1,655.40	Professional		$862.46	$862.46	$1,655.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.20 / $711.20 / $711.20	Facility		$711.20	$711.20	$711.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.77 / $188.77 / $406.95	Professional		$188.77	$188.77	$406.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,233.32 / $1,233.32 / $1,233.32	Facility		$1,233.32	$1,233.32	$1,233.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $257.45 / $828.99	Professional		$257.45	$257.45	$828.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $901.07 / $991.18 / $1,660.66	Facility		$901.07	$991.18	$1,660.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.71 / $579.26 / $972.50	Professional		$231.71	$579.26	$972.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $711.20 / $991.18 / $1,660.66	Facility		$711.20	$991.18	$1,660.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.77 / $257.45 / $406.95	Professional		$188.77	$257.45	$406.95
United Facility/Professional Professional Modifier Low / Median / High Price $359.69 / $635.67 / $776.78	Professional		$359.69	$635.67	$776.78