Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.58 / $1,633.07 / $1,633.07	Professional		$316.58	$1,633.07	$1,633.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.42 / $1,078.74 / $1,483.74	Professional		$815.42	$1,078.74	$1,483.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $326.74 / $1,633.07 / $2,286.30	Facility		$326.74	$1,633.07	$2,286.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $857.18 / $1,028.60 / $2,088.19	Professional		$857.18	$1,028.60	$2,088.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,205.00 / $1,667.75 / $2,098.00	Professional		$1,205.00	$1,667.75	$2,098.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.74 / $1,633.07 / $2,286.30	Facility		$326.74	$1,633.07	$2,286.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.16 / $1,650.70 / $2,118.60	Professional		$501.16	$1,650.70	$2,118.60
United Facility/Professional Professional Modifier Low / Median / High Price $863.00 / $1,510.25 / $1,898.60	Professional		$863.00	$1,510.25	$1,898.60