Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $8,912.51	Facility		$1,949.84	$2,691.53	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $2,570.40	Professional		$616.60	$741.31	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $870.96 / $1,096.48	Professional		$407.38	$870.96	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $758.58 / $3,162.28	Facility		$457.09	$758.58	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $3,019.95	Professional		$758.58	$758.58	$3,019.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,818.38 / $3,019.95	Facility		$758.58	$2,818.38	$3,019.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,698.24 / $1,698.24	Professional		$794.33	$1,698.24	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $912.01	Professional		$407.38	$676.08	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $794.33 / $2,290.87	Professional		$363.08	$794.33	$2,290.87