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 $717.95 / $3,748.86 / $3,748.86	Professional		$717.95	$3,748.86	$3,748.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,887.35 / $2,524.04 / $3,316.25	Professional		$1,887.35	$2,524.04	$3,316.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $732.43 / $3,748.86 / $5,248.40	Facility		$732.43	$3,748.86	$5,248.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,907.63 / $2,289.15 / $4,647.22	Professional		$1,907.63	$2,289.15	$4,647.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,766.25 / $3,825.28 / $4,682.00	Professional		$2,766.25	$3,825.28	$4,682.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $732.43 / $3,748.86 / $5,248.40	Facility		$732.43	$3,748.86	$5,248.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,146.44 / $3,780.80 / $4,881.80	Professional		$1,146.44	$3,780.80	$4,881.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,015.20 / $3,533.67 / $4,442.33	Professional		$2,015.20	$3,533.67	$4,442.33