Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.22 / $4,668.54 / $7,931.98	Facility		$1,001.22	$4,668.54	$7,931.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,266.28 / $2,266.28 / $4,349.89	Professional		$2,266.28	$2,266.28	$4,349.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,868.85 / $1,868.85 / $1,868.85	Facility		$1,868.85	$1,868.85	$1,868.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.49 / $356.49 / $356.49	Professional		$356.49	$356.49	$356.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,240.78 / $3,240.78 / $3,240.78	Facility		$3,240.78	$3,240.78	$3,240.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $676.50 / $2,178.33	Professional		$676.50	$676.50	$2,178.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,367.75 / $2,503.05 / $2,706.00	Facility		$2,367.75	$2,503.05	$2,706.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.85 / $1,522.13 / $1,522.13	Professional		$608.85	$1,522.13	$1,522.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,868.85 / $2,503.05 / $3,240.78	Facility		$1,868.85	$2,503.05	$3,240.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.49 / $1,860.38 / $1,860.38	Professional		$356.49	$1,860.38	$1,860.38
United Facility/Professional Professional Modifier Low / Median / High Price $707.02 / $1,414.04 / $2,041.14	Professional		$707.02	$1,414.04	$2,041.14