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 $395.71 / $2,159.82 / $2,159.82	Professional		$395.71	$2,159.82	$2,159.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.81 / $1,474.97 / $1,823.24	Professional		$1,088.81	$1,474.97	$1,823.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $405.93 / $2,159.82 / $3,023.75	Facility		$405.93	$2,159.82	$3,023.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.03 / $1,257.63 / $2,553.12	Professional		$1,048.03	$1,257.63	$2,553.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,542.50 / $2,122.48 / $2,570.00	Professional		$1,542.50	$2,122.48	$2,570.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $405.93 / $2,159.82 / $3,023.75	Facility		$405.93	$2,159.82	$3,023.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $666.55 / $2,083.94 / $2,708.20	Professional		$666.55	$2,083.94	$2,708.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,177.96 / $2,064.96 / $2,595.96	Professional		$1,177.96	$2,064.96	$2,595.96