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 $612.62 / $3,187.83 / $3,666.00	Professional		$612.62	$3,187.83	$3,666.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,601.66 / $2,133.82 / $2,839.20	Professional		$1,601.66	$2,133.82	$2,839.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $627.83 / $3,187.83 / $4,462.96	Facility		$627.83	$3,187.83	$4,462.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,638.35 / $1,966.02 / $3,991.22	Professional		$1,638.35	$1,966.02	$3,991.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,355.00 / $3,246.25 / $4,010.00	Professional		$2,355.00	$3,246.25	$4,010.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $627.83 / $3,187.83 / $4,462.96	Facility		$627.83	$3,187.83	$4,462.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $975.95 / $3,211.30 / $4,151.39	Professional		$975.95	$3,211.30	$4,151.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,704.26 / $2,575.28 / $3,755.53	Professional		$1,704.26	$2,575.28	$3,755.53