Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,066.38 / $3,292.63 / $3,359.05	Professional		$3,066.38	$3,292.63	$3,359.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.41 / $1,180.46 / $2,277.29	Professional		$1,076.41	$1,180.46	$2,277.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,066.38 / $4,292.93 / $4,702.67	Facility		$3,066.38	$4,292.93	$4,702.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,547.30 / $1,790.63 / $2,063.07	Professional		$1,547.30	$1,790.63	$2,063.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,540.85 / $2,598.75 / $3,007.50	Professional		$1,540.85	$2,598.75	$3,007.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,066.38 / $4,292.93 / $4,702.67	Facility		$3,066.38	$4,292.93	$4,702.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,026.80 / $2,118.69 / $4,170.13	Professional		$1,026.80	$2,118.69	$4,170.13
United Facility/Professional Professional Modifier Low / Median / High Price $906.27 / $1,821.84 / $1,821.84	Professional		$906.27	$1,821.84	$1,821.84