Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,473.04 / $6,782.00 / $13,413.92	Facility		$4,473.04	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.19 / $2,843.03 / $2,843.03	Professional		$553.19	$2,843.03	$2,843.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,482.89 / $1,980.77 / $2,582.67	Professional		$1,482.89	$1,980.77	$2,582.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $553.19 / $2,843.03 / $3,980.24	Facility		$553.19	$2,843.03	$3,980.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $583.21 / $583.21 / $833.15	Professional		$583.21	$583.21	$833.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,922.80 / $2,660.70 / $3,524.00	Professional		$1,922.80	$2,660.70	$3,524.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $553.19 / $2,843.03 / $3,980.24	Facility		$553.19	$2,843.03	$3,980.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $833.15 / $2,971.60 / $4,026.17	Professional		$833.15	$2,971.60	$4,026.17
United Facility/Professional Professional Modifier Low / Median / High Price $391.50 / $590.62 / $978.75	Professional		$391.50	$590.62	$978.75