Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $8,912.51 / $9,549.93	Facility		$5,754.40	$8,912.51	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $588.84	Professional		$151.36	$158.49	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $213.80	Professional		$151.36	$151.36	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $190.55 / $5,754.40	Facility		$151.36	$190.55	$5,754.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $512.86	Professional		$194.98	$309.03	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $645.65 / $3,467.37	Facility		$229.09	$645.65	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $436.52 / $478.63	Professional		$398.11	$436.52	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $190.55 / $436.52	Facility		$151.36	$190.55	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $199.53	Professional		$60.26	$125.89	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $380.19 / $851.14	Professional		$177.83	$380.19	$851.14