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 $681.83 / $3,546.96 / $3,546.96	Professional		$681.83	$3,546.96	$3,546.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,782.41 / $2,373.77 / $3,155.95	Professional		$1,782.41	$2,373.77	$3,155.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $696.27 / $3,546.96 / $4,965.74	Facility		$696.27	$3,546.96	$4,965.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,816.25 / $2,179.50 / $4,424.62	Professional		$1,816.25	$2,179.50	$4,424.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,617.50 / $3,350.40 / $4,454.00	Professional		$2,617.50	$3,350.40	$4,454.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $696.27 / $3,546.96 / $4,965.74	Facility		$696.27	$3,546.96	$4,965.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,085.08 / $3,244.29 / $4,591.39	Professional		$1,085.08	$3,244.29	$4,591.39
United Facility/Professional Facility Modifier Low / Median / High Price $6,489.22 / $6,489.22 / $6,489.22	Facility		$6,489.22	$6,489.22	$6,489.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,888.18 / $3,798.04 / $4,177.84	Professional		$1,888.18	$3,798.04	$4,177.84