Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $7,943.28	Facility		$2,818.38	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $2,187.76	Professional		$512.86	$602.56	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $831.76	Professional		$676.08	$676.08	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $645.65 / $3,090.30	Facility		$426.58	$645.65	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $2,041.74 / $2,570.40	Professional		$616.60	$2,041.74	$2,570.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $2,570.40	Facility		$2,344.23	$2,454.71	$2,570.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $1,445.44	Professional		$954.99	$1,445.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $524.81 / $1,174.90	Facility		$426.58	$524.81	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $645.65	Professional		$602.56	$602.56	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,288.25 / $1,949.84	Professional		$288.40	$1,288.25	$1,949.84