Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.21 / $669.83 / $669.83	Professional		$337.21	$669.83	$669.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $325.56 / $325.56	Professional		$325.56	$325.56	$325.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $337.21 / $669.83 / $937.76	Facility		$337.21	$669.83	$937.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $884.68 / $1,061.60 / $2,155.17	Professional		$884.68	$1,061.60	$2,155.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,141.00 / $1,575.63 / $2,224.94	Professional		$1,141.00	$1,575.63	$2,224.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.21 / $669.83 / $937.76	Facility		$337.21	$669.83	$937.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $333.18 / $1,608.18 / $2,282.00	Professional		$333.18	$1,608.18	$2,282.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.52 / $1,047.52 / $2,095.04	Professional		$1,047.52	$1,047.52	$2,095.04