Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $5,623.41	Facility		$1,995.26	$3,548.13	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,548.82 / $2,041.74	Professional		$446.68	$1,548.82	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $660.69	Professional		$524.81	$524.81	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $457.09 / $2,089.30	Facility		$275.42	$457.09	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,380.38 / $1,548.82	Professional		$457.09	$1,380.38	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,778.28 / $1,819.70	Facility		$1,698.24	$1,778.28	$1,819.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,023.29	Professional		$691.83	$1,023.29	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $346.74 / $851.14	Facility		$275.42	$346.74	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $457.09	Professional		$436.52	$436.52	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $912.01 / $1,380.38	Professional		$208.93	$912.01	$1,380.38