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 $541.84 / $2,822.58 / $2,822.58	Professional		$541.84	$2,822.58	$2,822.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,420.02 / $1,897.18 / $2,508.10	Professional		$1,420.02	$1,897.18	$2,508.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $554.42 / $2,822.58 / $3,951.61	Facility		$554.42	$2,822.58	$3,951.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.90 / $1,735.08 / $3,522.36	Professional		$1,445.90	$1,735.08	$3,522.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,090.00 / $2,886.16 / $3,544.00	Professional		$2,090.00	$2,886.16	$3,544.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $554.42 / $2,822.58 / $3,951.61	Facility		$554.42	$2,822.58	$3,951.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $864.10 / $2,852.60 / $3,691.60	Professional		$864.10	$2,852.60	$3,691.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,517.50 / $2,656.05 / $3,339.03	Professional		$1,517.50	$2,656.05	$3,339.03