Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,473.04 / $6,782.00 / $13,413.92	Facility		$4,473.04	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $945.47 / $945.47 / $945.47	Professional		$945.47	$945.47	$945.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $540.82	Professional		$540.82	$540.82	$540.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,352.02 / $1,352.02 / $1,352.02	Facility		$1,352.02	$1,352.02	$1,352.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $589.52 / $589.52 / $842.18	Professional		$589.52	$589.52	$842.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,507.05 / $2,655.45 / $3,102.75	Professional		$1,507.05	$2,655.45	$3,102.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,352.02 / $1,352.02 / $1,352.02	Facility		$1,352.02	$1,352.02	$1,352.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $2,458.75 / $4,051.31	Professional		$540.82	$2,458.75	$4,051.31
United Facility/Professional Professional Modifier Low / Median / High Price $513.03 / $2,262.12 / $3,421.18	Professional		$513.03	$2,262.12	$3,421.18