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 $410.52 / $479.79 / $2,280.25	Professional		$410.52	$479.79	$2,280.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,146.85 / $1,541.20 / $2,007.08	Professional		$1,146.85	$1,541.20	$2,007.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.13 / $2,280.25 / $3,192.35	Facility		$446.13	$2,280.25	$3,192.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,159.63 / $1,391.55 / $2,824.98	Professional		$1,159.63	$1,391.55	$2,824.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,692.50 / $2,334.04 / $2,846.00	Professional		$1,692.50	$2,334.04	$2,846.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.13 / $2,280.25 / $3,192.35	Facility		$446.13	$2,280.25	$3,192.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $697.38 / $2,306.90 / $2,978.80	Professional		$697.38	$2,306.90	$2,978.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,232.72 / $1,860.05 / $2,712.51	Professional		$1,232.72	$1,860.05	$2,712.51