Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,175.36 / $13,413.92	Facility		$3,741.00	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.68 / $442.43 / $2,059.37	Professional		$377.68	$442.43	$2,059.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,035.15 / $1,387.81 / $1,822.22	Professional		$1,035.15	$1,387.81	$1,822.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $404.28 / $2,059.37 / $2,883.12	Facility		$404.28	$2,059.37	$2,883.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.88 / $1,263.45 / $2,564.94	Professional		$1,052.88	$1,263.45	$2,564.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,528.75 / $2,107.00 / $2,582.00	Professional		$1,528.75	$2,107.00	$2,582.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.28 / $2,059.37 / $2,883.12	Facility		$404.28	$2,059.37	$2,883.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $631.57 / $1,956.80 / $2,695.00	Professional		$631.57	$1,956.80	$2,695.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,110.26 / $1,942.96 / $2,442.57	Professional		$1,110.26	$1,942.96	$2,442.57