Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.64 / $3,229.67 / $5,487.30	Facility		$692.64	$3,229.67	$5,487.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,567.80 / $1,567.80 / $3,009.24	Professional		$1,567.80	$1,567.80	$3,009.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,292.84 / $1,292.84 / $1,292.84	Facility		$1,292.84	$1,292.84	$1,292.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.79 / $235.79 / $530.69	Professional		$235.79	$235.79	$530.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,241.94 / $2,241.94 / $2,241.94	Facility		$2,241.94	$2,241.94	$2,241.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $468.00 / $1,506.96	Professional		$468.00	$468.00	$1,506.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $1,731.60 / $1,872.00	Facility		$1,638.00	$1,731.60	$1,872.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $1,053.00 / $1,053.00	Professional		$421.20	$1,053.00	$1,053.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,292.84 / $1,731.60 / $2,241.94	Facility		$1,292.84	$1,731.60	$2,241.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $235.79 / $530.69 / $2,574.00	Professional		$235.79	$530.69	$2,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $936.00 / $1,412.05	Professional		$468.00	$936.00	$1,412.05