Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.08 / $1,952.16 / $3,316.78	Facility		$1,175.08	$1,952.16	$3,316.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.65 / $947.65 / $947.65	Professional		$947.65	$947.65	$947.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $781.45 / $781.45 / $781.45	Facility		$781.45	$781.45	$781.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,355.14 / $1,355.14 / $1,355.14	Facility		$1,355.14	$1,355.14	$1,355.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $282.88 / $910.87	Professional		$282.88	$282.88	$910.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,046.66 / $1,046.66 / $1,131.52	Facility		$1,046.66	$1,046.66	$1,131.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $636.48 / $636.48	Professional		$254.59	$636.48	$636.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $781.45 / $1,089.08 / $1,355.14	Facility		$781.45	$1,089.08	$1,355.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $777.92 / $777.92 / $777.92	Professional		$777.92	$777.92	$777.92
United Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $565.76 / $853.51	Professional		$282.88	$565.76	$853.51