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 $669.77 / $3,494.51 / $3,494.51	Professional		$669.77	$3,494.51	$3,494.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,757.01 / $2,347.46 / $3,098.82	Professional		$1,757.01	$2,347.46	$3,098.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $684.46 / $3,494.51 / $4,892.31	Facility		$684.46	$3,494.51	$4,892.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,783.90 / $2,140.67 / $4,345.82	Professional		$1,783.90	$2,140.67	$4,345.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,578.75 / $3,563.84 / $4,374.00	Professional		$2,578.75	$3,563.84	$4,374.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $684.46 / $3,494.51 / $4,892.31	Facility		$684.46	$3,494.51	$4,892.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,068.76 / $3,522.40 / $4,549.60	Professional		$1,068.76	$3,522.40	$4,549.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,874.52 / $3,755.92 / $4,131.51	Professional		$1,874.52	$3,755.92	$4,131.51