Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,836.00 / $10,480.00 / $13,413.92	Facility		$8,836.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.90 / $2,355.30 / $2,355.30	Professional		$474.90	$2,355.30	$2,355.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $850.63 / $850.63 / $1,609.00	Professional		$850.63	$850.63	$1,609.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,355.30 / $3,297.42 / $3,368.08	Facility		$2,355.30	$3,297.42	$3,368.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $474.15 / $474.15 / $677.35	Professional		$474.15	$474.15	$677.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,112.00 / $1,992.60 / $2,147.44	Professional		$1,112.00	$1,992.60	$2,147.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,355.30 / $3,297.42 / $3,368.08	Facility		$2,355.30	$3,297.42	$3,368.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $409.83 / $1,609.00 / $3,269.84	Professional		$409.83	$1,609.00	$3,269.84
United Facility/Professional Professional Modifier Low / Median / High Price $420.03 / $1,166.40 / $1,759.64	Professional		$420.03	$1,166.40	$1,759.64