Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,503.62 / $4,522.67 / $7,066.68	Facility		$2,503.62	$4,522.67	$7,066.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,118.85 / $4,522.67 / $6,965.72	Professional		$4,118.85	$4,522.67	$6,965.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.98 / $1,664.98 / $1,664.98	Facility		$1,664.98	$1,664.98	$1,664.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,887.24 / $2,887.24 / $2,887.24	Facility		$2,887.24	$2,887.24	$2,887.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.70 / $602.70 / $1,940.69	Professional		$602.70	$602.70	$1,940.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,229.98 / $2,229.98 / $2,410.80	Facility		$2,229.98	$2,229.98	$2,410.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.42 / $1,356.08 / $1,356.08	Professional		$542.42	$1,356.08	$1,356.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,664.98 / $2,320.40 / $2,887.24	Facility		$1,664.98	$2,320.40	$2,887.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,657.43 / $1,657.43 / $1,657.43	Professional		$1,657.43	$1,657.43	$1,657.43
United Facility/Professional Professional Modifier Low / Median / High Price $602.70 / $1,205.40 / $1,818.47	Professional		$602.70	$1,205.40	$1,818.47