Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.33 / $2,238.33 / $2,642.01	Professional		$2,238.33	$2,238.33	$2,642.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.91 / $1,472.91 / $1,472.91	Professional		$1,472.91	$1,472.91	$1,472.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $565.76 / $2,238.33 / $3,200.81	Facility		$565.76	$2,238.33	$3,200.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,187.13 / $3,082.80 / $3,745.82	Professional		$1,187.13	$3,082.80	$3,745.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,835.00 / $2,128.60 / $2,778.60	Professional		$1,835.00	$2,128.60	$2,778.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $565.76 / $2,238.33 / $3,200.81	Facility		$565.76	$2,238.33	$3,200.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $618.92 / $1,990.50 / $2,905.69	Professional		$618.92	$1,990.50	$2,905.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,124.26 / $1,178.32 / $2,585.80	Professional		$1,124.26	$1,178.32	$2,585.80