Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.67 / $1,968.34 / $1,968.34	Professional		$377.67	$1,968.34	$1,968.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $990.26 / $1,309.46 / $1,768.88	Professional		$990.26	$1,309.46	$1,768.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $381.26 / $1,968.34 / $2,755.68	Facility		$381.26	$1,968.34	$2,755.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $997.90 / $1,197.48 / $2,430.98	Professional		$997.90	$1,197.48	$2,430.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,455.00 / $1,996.92 / $2,472.00	Professional		$1,455.00	$1,996.92	$2,472.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.26 / $1,968.34 / $2,755.68	Facility		$381.26	$1,968.34	$2,755.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $600.04 / $1,973.70 / $2,596.00	Professional		$600.04	$1,973.70	$2,596.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.56 / $1,795.44 / $2,304.63	Professional		$1,047.56	$1,795.44	$2,304.63