Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,910.26 / $3,450.79 / $5,391.85	Facility		$1,910.26	$3,450.79	$5,391.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,142.68 / $3,450.79 / $5,314.83	Professional		$3,142.68	$3,450.79	$5,314.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,270.36 / $1,270.36 / $1,270.36	Facility		$1,270.36	$1,270.36	$1,270.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.64 / $528.64 / $660.80	Professional		$528.64	$528.64	$660.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.92 / $349.49 / $551.83	Facility		$275.92	$349.49	$551.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $459.86 / $459.86 / $1,839.44	Professional		$459.86	$459.86	$1,839.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,701.48 / $1,701.48 / $1,839.44	Facility		$1,701.48	$1,701.48	$1,839.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.87 / $689.79 / $1,839.44	Professional		$413.87	$689.79	$1,839.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.92 / $354.09 / $896.73	Facility		$275.92	$354.09	$896.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.87 / $459.86 / $1,264.61	Professional		$436.87	$459.86	$1,264.61
United Facility/Professional Professional Modifier Low / Median / High Price $206.94 / $919.72 / $1,387.49	Professional		$206.94	$919.72	$1,387.49