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 $477.63 / $1,648.61 / $2,796.08	Professional		$477.63	$1,648.61	$2,796.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.39 / $1,866.60 / $2,496.21	Professional		$1,403.39	$1,866.60	$2,496.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $550.40 / $2,796.08 / $3,914.51	Facility		$550.40	$2,796.08	$3,914.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,437.00 / $1,724.40 / $3,500.69	Professional		$1,437.00	$1,724.40	$3,500.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,047.50 / $2,813.50 / $3,520.00	Professional		$2,047.50	$2,813.50	$3,520.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $550.40 / $2,796.08 / $3,914.51	Facility		$550.40	$2,796.08	$3,914.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $855.08 / $2,766.75 / $3,623.40	Professional		$855.08	$2,766.75	$3,623.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,493.28 / $2,613.23 / $3,285.22	Professional		$1,493.28	$2,613.23	$3,285.22