Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Facility		$18,620.87	$18,620.87	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $630.96 / $10,000.00	Professional		$602.56	$630.96	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,548.82 / $4,570.88	Facility		$645.65	$1,548.82	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,412.54	Facility		$630.96	$1,000.00	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $4,466.84	Professional		$588.84	$707.95	$4,466.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,187.76	Facility		$977.24	$1,479.11	$2,187.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $812.83 / $891.25	Professional		$741.31	$812.83	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $812.83 / $1,905.46	Facility		$630.96	$812.83	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $870.96	Professional		$645.65	$645.65	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,905.46	Professional		$630.96	$954.99	$1,905.46