Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $10,625.00 / $22,888.00	Facility		$2,236.00	$10,625.00	$22,888.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.79 / $3,117.50 / $3,117.50	Professional		$598.79	$3,117.50	$3,117.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,568.78 / $2,089.48 / $2,769.56	Professional		$1,568.78	$2,089.48	$2,769.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $612.15 / $3,117.50 / $4,364.50	Facility		$612.15	$3,117.50	$4,364.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,596.30 / $1,915.56 / $3,888.78	Professional		$1,596.30	$1,915.56	$3,888.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,298.75 / $3,175.12 / $3,910.00	Professional		$2,298.75	$3,175.12	$3,910.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $612.15 / $3,117.50 / $4,364.50	Facility		$612.15	$3,117.50	$4,364.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $953.88 / $3,138.20 / $4,050.20	Professional		$953.88	$3,138.20	$4,050.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,666.46 / $2,925.27 / $3,677.48	Professional		$1,666.46	$2,925.27	$3,677.48