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 $649.10 / $3,412.98 / $3,412.98	Professional		$649.10	$3,412.98	$3,412.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,721.13 / $2,317.25 / $3,000.17	Professional		$1,721.13	$2,317.25	$3,000.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $649.10 / $3,412.98 / $4,778.17	Facility		$649.10	$3,412.98	$4,778.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,720.03 / $2,064.03 / $4,190.18	Professional		$1,720.03	$2,064.03	$4,190.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,537.50 / $3,488.16 / $4,208.00	Professional		$2,537.50	$3,488.16	$4,208.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $649.10 / $3,412.98 / $4,778.17	Facility		$649.10	$3,412.98	$4,778.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,041.82 / $3,447.60 / $4,477.00	Professional		$1,041.82	$3,447.60	$4,477.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,853.80 / $3,707.60 / $4,078.36	Professional		$1,853.80	$3,707.60	$4,078.36