Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.94 / $1,518.28 / $2,747.34	Facility		$840.94	$1,518.28	$2,747.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,537.90	Professional		$1,214.63	$1,214.63	$1,537.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Professional		$1,214.63	$1,214.63	$1,214.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,209.77 / $2,040.58 / $3,206.63	Facility		$1,209.77	$2,040.58	$3,206.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,209.77 / $1,603.32 / $1,749.07	Professional		$1,209.77	$1,603.32	$1,749.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,942.56	Facility		$1,238.93	$1,238.93	$1,942.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,151.66 / $1,238.93 / $1,665.05	Professional		$1,151.66	$1,238.93	$1,665.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,700.48 / $1,821.95 / $3,643.89	Professional		$1,700.48	$1,821.95	$3,643.89