Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.92 / $4,112.96 / $4,112.96	Professional		$816.92	$4,112.96	$4,112.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,055.04 / $2,718.13 / $3,786.45	Professional		$2,055.04	$2,718.13	$3,786.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $816.92 / $4,112.96 / $5,758.14	Facility		$816.92	$4,112.96	$5,758.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,215.98 / $2,663.73 / $5,407.65	Professional		$2,215.98	$2,663.73	$5,407.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,165.00 / $4,305.16 / $5,446.00	Professional		$3,165.00	$4,305.16	$5,446.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $846.58 / $4,112.96 / $5,758.14	Facility		$846.58	$4,112.96	$5,758.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,262.53 / $4,255.10 / $5,557.20	Professional		$1,262.53	$4,255.10	$5,557.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,174.50 / $3,805.38 / $4,783.89	Professional		$2,174.50	$3,805.38	$4,783.89