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 $569.72 / $3,022.94 / $3,022.94	Professional		$569.72	$3,022.94	$3,022.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.07 / $2,112.32 / $2,605.78	Professional		$1,547.07	$2,112.32	$2,605.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $596.27 / $3,022.94 / $4,232.12	Facility		$596.27	$3,022.94	$4,232.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,547.78 / $1,857.33 / $3,770.58	Professional		$1,547.78	$1,857.33	$3,770.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,295.00 / $3,132.12 / $4,202.00	Professional		$2,295.00	$3,132.12	$4,202.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $596.27 / $3,022.94 / $4,232.12	Facility		$596.27	$3,022.94	$4,232.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $943.67 / $2,989.80 / $4,622.20	Professional		$943.67	$2,989.80	$4,622.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,689.86 / $2,957.26 / $3,717.69	Professional		$1,689.86	$2,957.26	$3,717.69