Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.50 / $2,079.79 / $3,947.37	Facility		$586.50	$2,079.79	$3,947.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $633.04 / $1,070.44	Professional		$575.50	$633.04	$1,070.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $575.50	Professional		$575.50	$575.50	$575.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $606.35 / $1,070.44 / $1,530.73	Facility		$606.35	$1,070.44	$1,530.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $1,214.82	Professional		$575.50	$575.50	$1,214.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $993.36 / $1,122.66 / $1,764.18	Facility		$993.36	$1,122.66	$1,764.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.90 / $962.28 / $962.28	Professional		$801.90	$962.28	$962.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $1,070.44 / $1,603.80	Facility		$575.50	$1,070.44	$1,603.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $660.48 / $962.28	Professional		$575.50	$660.48	$962.28
United Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $863.25 / $1,726.50	Professional		$575.50	$863.25	$1,726.50