Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,675.81 / $10,900.00 / $14,552.94	Facility		$2,675.81	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $867.25 / $4,538.27 / $4,538.27	Professional		$867.25	$4,538.27	$4,538.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,289.86 / $3,069.57 / $3,991.26	Professional		$2,289.86	$3,069.57	$3,991.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $867.25 / $4,538.27 / $6,353.58	Facility		$867.25	$4,538.27	$6,353.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,297.40 / $2,756.88 / $5,596.77	Professional		$2,297.40	$2,756.88	$5,596.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,367.50 / $4,377.60 / $5,632.00	Professional		$3,367.50	$4,377.60	$5,632.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $883.44 / $4,538.27 / $6,353.58	Facility		$883.44	$4,538.27	$6,353.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,386.80 / $4,110.12 / $5,920.20	Professional		$1,386.80	$4,110.12	$5,920.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.42 / $4,297.41 / $5,402.45	Professional		$2,454.42	$4,297.41	$5,402.45