Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,238.72 / $2,238.72	Professional		$977.24	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $562.34	Professional		$398.11	$537.03	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,348.96 / $2,290.87	Facility		$208.93	$1,348.96	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,089.30 / $7,079.46	Professional		$1,122.02	$2,089.30	$7,079.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $208.93 / $2,089.30	Facility		$104.71	$208.93	$2,089.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $398.11 / $2,089.30	Professional		$177.83	$398.11	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,096.48	Facility		$831.76	$831.76	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $537.03 / $831.76	Professional		$60.26	$537.03	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $346.74 / $851.14	Facility		$46.77	$346.74	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $3,890.45	Professional		$1,071.52	$2,041.74	$3,890.45