Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $6,456.54 / $10,964.78	Facility		$1,318.26	$6,456.54	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $3,019.95	Professional		$724.44	$870.96	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,288.25	Professional		$1,023.29	$1,023.29	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $891.25	Facility		$446.68	$446.68	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $891.25 / $3,548.13	Professional		$870.96	$891.25	$3,548.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,311.31 / $3,548.13	Facility		$891.25	$3,311.31	$3,548.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,995.26 / $1,995.26	Professional		$933.25	$1,995.26	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $891.25	Professional		$812.83	$812.83	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $891.25 / $2,691.53	Professional		$407.38	$891.25	$2,691.53