Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $1,348.96	Professional		$562.34	$676.08	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $741.31	Professional		$512.86	$512.86	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,174.90 / $1,548.82	Facility		$331.13	$1,174.90	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,548.82 / $3,162.28	Professional		$776.25	$1,548.82	$3,162.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,548.82 / $1,621.81	Facility		$912.01	$1,548.82	$1,621.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $1,584.89	Professional		$1,258.93	$1,548.82	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $1,412.54	Facility		$331.13	$331.13	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $707.95 / $1,000.00	Professional		$60.26	$707.95	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $575.44	Facility		$512.86	$512.86	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $3,981.07	Professional		$758.58	$1,174.90	$3,981.07