Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.00 / $1,111.32 / $4,007.12	Facility		$846.00	$1,111.32	$4,007.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,396.21 / $1,396.21 / $2,679.90	Professional		$1,396.21	$1,396.21	$2,679.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,151.36 / $1,151.36 / $1,151.36	Facility		$1,151.36	$1,151.36	$1,151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.14 / $289.14 / $646.60	Professional		$289.14	$289.14	$646.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,996.58 / $1,996.58 / $1,996.58	Facility		$1,996.58	$1,996.58	$1,996.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $1,342.03	Professional		$416.78	$416.78	$1,342.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,458.73 / $1,542.09 / $1,667.12	Facility		$1,458.73	$1,542.09	$1,667.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $937.76 / $937.76	Professional		$375.10	$937.76	$937.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,151.36 / $1,542.09 / $1,996.58	Facility		$1,151.36	$1,542.09	$1,996.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.14 / $646.60 / $1,146.15	Professional		$289.14	$646.60	$1,146.15
United Facility/Professional Professional Modifier Low / Median / High Price $571.72 / $1,029.09 / $1,257.51	Professional		$571.72	$1,029.09	$1,257.51