Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $10,964.78 / $16,595.87	Facility		$2,398.83	$10,964.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $4,365.16	Professional		$707.95	$912.01	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,230.27 / $6,025.60	Facility		$870.96	$1,230.27	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $5,370.32	Professional		$1,737.80	$2,238.72	$5,370.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $4,466.84	Professional		$3,162.28	$3,162.28	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,365.16 / $6,165.95	Facility		$1,230.27	$4,365.16	$6,165.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $741.31 / $2,630.27	Professional		$60.26	$741.31	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,137.96 / $5,248.07	Professional		$1,174.90	$2,137.96	$5,248.07