Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.34 / $1,070.34 / $1,070.34	Facility		$1,070.34	$1,070.34	$1,070.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,178.79 / $1,178.79 / $2,663.20	Professional		$1,178.79	$1,178.79	$2,663.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.22 / $1,124.22 / $1,314.95	Professional		$1,124.22	$1,124.22	$1,314.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,685.67 / $1,685.67 / $1,685.67	Facility		$1,685.67	$1,685.67	$1,685.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $617.50 / $1,154.76 / $2,082.50	Professional		$617.50	$1,154.76	$2,082.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,487.50 / $1,642.95 / $2,177.69	Professional		$1,487.50	$1,642.95	$2,177.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,685.67 / $1,685.67 / $1,685.67	Facility		$1,685.67	$1,685.67	$1,685.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $617.50 / $1,625.00 / $3,032.20	Professional		$617.50	$1,625.00	$3,032.20
United Facility/Professional Professional Modifier Low / Median / High Price $510.44 / $1,051.96 / $1,577.94	Professional		$510.44	$1,051.96	$1,577.94