Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $10,000.00 / $16,982.44	Facility		$1,659.59	$10,000.00	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $2,630.27	Professional		$562.34	$676.08	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $870.96 / $3,715.35	Facility		$602.56	$870.96	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $3,801.89	Professional		$1,148.15	$1,479.11	$3,801.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,162.28	Professional		$2,187.76	$2,187.76	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,630.27 / $3,801.89	Facility		$870.96	$2,630.27	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $524.81 / $1,862.09	Professional		$60.26	$524.81	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,479.11 / $3,715.35	Professional		$1,380.38	$1,479.11	$3,715.35