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 $675.94 / $3,749.63 / $3,749.63	Professional		$675.94	$3,749.63	$3,749.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,896.16 / $2,587.00 / $3,095.99	Professional		$1,896.16	$2,587.00	$3,095.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $675.94 / $3,749.63 / $5,249.48	Facility		$675.94	$3,749.63	$5,249.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,769.35 / $2,123.21 / $4,310.35	Professional		$1,769.35	$2,123.21	$4,310.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,663.75 / $3,655.00 / $4,388.00	Professional		$2,663.75	$3,655.00	$4,388.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $689.44 / $3,749.63 / $5,249.48	Facility		$689.44	$3,749.63	$5,249.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,153.91 / $3,544.20 / $4,771.80	Professional		$1,153.91	$3,544.20	$4,771.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,069.60 / $4,139.20 / $4,553.12	Professional		$2,069.60	$4,139.20	$4,553.12