Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,021.09 / $3,651.00 / $5,704.69	Facility		$2,021.09	$3,651.00	$5,704.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,325.02 / $3,651.00 / $5,623.19	Professional		$3,325.02	$3,651.00	$5,623.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,344.06 / $1,344.06 / $1,344.06	Facility		$1,344.06	$1,344.06	$1,344.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,330.77 / $2,330.77 / $2,330.77	Facility		$2,330.77	$2,330.77	$2,330.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $486.54 / $486.54 / $1,566.66	Professional		$486.54	$486.54	$1,566.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,800.20 / $1,800.20 / $1,946.16	Facility		$1,800.20	$1,800.20	$1,946.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.89 / $1,094.72 / $1,094.72	Professional		$437.89	$1,094.72	$1,094.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,344.06 / $1,873.18 / $2,330.77	Facility		$1,344.06	$1,873.18	$2,330.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,337.99 / $1,337.99 / $1,337.99	Professional		$1,337.99	$1,337.99	$1,337.99
United Facility/Professional Professional Modifier Low / Median / High Price $486.54 / $973.08 / $1,467.99	Professional		$486.54	$973.08	$1,467.99