Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.79 / $7,340.00 / $13,413.92	Facility		$1,362.79	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,508.43 / $1,631.35 / $2,299.35	Professional		$1,508.43	$1,631.35	$2,299.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.17 / $825.87 / $1,522.55	Professional		$531.17	$825.87	$1,522.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,508.43 / $2,157.05 / $3,219.09	Facility		$1,508.43	$2,157.05	$3,219.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $779.55 / $935.46 / $1,458.51	Professional		$779.55	$935.46	$1,458.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,043.90 / $1,347.67 / $2,101.19	Professional		$1,043.90	$1,347.67	$2,101.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,508.43 / $2,157.05 / $3,219.09	Facility		$1,508.43	$2,157.05	$3,219.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $607.36 / $1,242.00 / $2,134.86	Professional		$607.36	$1,242.00	$2,134.86
United Facility/Professional Professional Modifier Low / Median / High Price $533.90 / $1,218.04 / $1,837.54	Professional		$533.90	$1,218.04	$1,837.54