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 $627.41 / $3,264.69 / $3,264.69	Professional		$627.41	$3,264.69	$3,264.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.52 / $2,188.66 / $2,904.70	Professional		$1,640.52	$2,188.66	$2,904.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $641.36 / $3,264.69 / $4,570.57	Facility		$641.36	$3,264.69	$4,570.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,673.13 / $2,007.75 / $4,075.93	Professional		$1,673.13	$2,007.75	$4,075.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,418.75 / $3,096.00 / $4,102.00	Professional		$2,418.75	$3,096.00	$4,102.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $641.36 / $3,264.69 / $4,570.57	Facility		$641.36	$3,264.69	$4,570.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $999.35 / $2,985.57 / $4,250.39	Professional		$999.35	$2,985.57	$4,250.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,746.72 / $3,064.11 / $3,852.02	Professional		$1,746.72	$3,064.11	$3,852.02