Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,818.38 / $4,365.16	Facility		$1,548.82	$2,818.38	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $338.84 / $1,202.26	Professional		$3.98	$338.84	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $512.86	Professional		$407.38	$407.38	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $354.81 / $1,621.81	Facility		$208.93	$354.81	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $1,148.15	Professional		$354.81	$354.81	$1,148.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,445.44	Facility		$1,258.93	$1,318.26	$1,445.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $812.83	Professional		$537.03	$812.83	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $281.84 / $660.69	Facility		$208.93	$281.84	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $354.81	Professional		$338.84	$338.84	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $707.95 / $1,071.52	Professional		$162.18	$707.95	$1,071.52