Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $10,964.78 / $16,595.87	Facility		$2,884.03	$10,964.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,318.26 / $4,570.88	Professional		$758.58	$1,318.26	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $6,606.93	Facility		$870.96	$870.96	$6,606.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $3,311.31	Professional		$1,995.26	$2,398.83	$3,311.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $4,365.16	Professional		$2,089.30	$3,981.07	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,318.26 / $6,606.93	Facility		$870.96	$1,318.26	$6,606.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,288.25 / $3,090.30	Professional		$60.26	$1,288.25	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,511.89 / $3,715.35	Professional		$1,148.15	$2,511.89	$3,715.35