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 $559.59 / $2,906.74 / $2,906.74	Professional		$559.59	$2,906.74	$2,906.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,460.81 / $1,943.61 / $2,592.31	Professional		$1,460.81	$1,943.61	$2,592.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $572.49 / $2,906.74 / $4,069.44	Facility		$572.49	$2,906.74	$4,069.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.40 / $1,793.28 / $3,640.56	Professional		$1,494.40	$1,793.28	$3,640.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,148.75 / $2,963.56 / $3,662.00	Professional		$2,148.75	$2,963.56	$3,662.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $572.49 / $2,906.74 / $4,069.44	Facility		$572.49	$2,906.74	$4,069.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $890.08 / $2,929.10 / $3,775.20	Professional		$890.08	$2,929.10	$3,775.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,554.88 / $2,721.04 / $3,420.74	Professional		$1,554.88	$2,721.04	$3,420.74