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 $794.19 / $4,152.37 / $4,152.37	Professional		$794.19	$4,152.37	$4,152.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,093.15 / $2,800.98 / $3,661.47	Professional		$2,093.15	$2,800.98	$3,661.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $808.90 / $4,152.37 / $5,813.32	Facility		$808.90	$4,152.37	$5,813.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,104.94 / $2,525.94 / $5,127.91	Professional		$2,104.94	$2,525.94	$5,127.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,058.75 / $4,232.92 / $5,166.00	Professional		$3,058.75	$4,232.92	$5,166.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $808.90 / $4,152.37 / $5,813.32	Facility		$808.90	$4,152.37	$5,813.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,269.06 / $4,183.70 / $5,414.20	Professional		$1,269.06	$4,183.70	$5,414.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,240.16 / $3,840.54 / $4,929.72	Professional		$2,240.16	$3,840.54	$4,929.72