Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.94 / $4,429.41 / $7,525.70	Facility		$949.94	$4,429.41	$7,525.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,150.19 / $2,150.19 / $4,127.10	Professional		$2,150.19	$2,150.19	$4,127.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,773.10 / $1,773.10 / $1,773.10	Facility		$1,773.10	$1,773.10	$1,773.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,074.79 / $3,074.79 / $3,074.79	Facility		$3,074.79	$3,074.79	$3,074.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $641.85 / $2,066.76	Professional		$641.85	$641.85	$2,066.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,149.59 / $2,374.85 / $2,567.40	Facility		$1,149.59	$2,374.85	$2,567.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.66 / $1,444.16 / $1,444.16	Professional		$577.66	$1,444.16	$1,444.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,149.59 / $2,246.48 / $3,074.79	Facility		$1,149.59	$2,246.48	$3,074.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $577.66 / $1,765.09 / $1,765.09	Professional		$577.66	$1,765.09	$1,765.09
United Facility/Professional Professional Modifier Low / Median / High Price $287.83 / $1,283.70 / $1,936.60	Professional		$287.83	$1,283.70	$1,936.60