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 $653.89 / $3,410.73 / $3,410.73	Professional		$653.89	$3,410.73	$3,410.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,714.40 / $2,288.10 / $3,030.71	Professional		$1,714.40	$2,288.10	$3,030.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $668.92 / $3,410.73 / $4,775.02	Facility		$668.92	$3,410.73	$4,775.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,744.28 / $2,093.13 / $4,249.29	Professional		$1,744.28	$2,093.13	$4,249.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,512.50 / $3,479.56 / $4,278.00	Professional		$2,512.50	$3,479.56	$4,278.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $668.92 / $3,410.73 / $4,775.02	Facility		$668.92	$3,410.73	$4,775.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,043.38 / $3,439.10 / $4,437.39	Professional		$1,043.38	$3,439.10	$4,437.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,825.92 / $3,203.34 / $4,027.06	Professional		$1,825.92	$3,203.34	$4,027.06