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 $505.12 / $2,630.50 / $2,630.50	Professional		$505.12	$2,630.50	$2,630.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,322.12 / $1,762.84 / $2,340.98	Professional		$1,322.12	$1,762.84	$2,340.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $517.34 / $2,630.50 / $3,682.70	Facility		$517.34	$2,630.50	$3,682.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.65 / $1,619.58 / $3,287.93	Professional		$1,349.65	$1,619.58	$3,287.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,947.50 / $2,675.75 / $3,308.00	Professional		$1,947.50	$2,675.75	$3,308.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $517.34 / $2,630.50 / $3,682.70	Facility		$517.34	$2,630.50	$3,682.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $805.44 / $2,652.00 / $3,427.60	Professional		$805.44	$2,652.00	$3,427.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,407.98 / $2,417.09 / $3,102.57	Professional		$1,407.98	$2,417.09	$3,102.57