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 $2,245.39 / $2,245.39 / $3,061.02	Professional		$2,245.39	$2,245.39	$3,061.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,619.70 / $1,619.70 / $1,619.70	Professional		$1,619.70	$1,619.70	$1,619.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $579.79 / $2,245.39 / $3,210.91	Facility		$579.79	$2,245.39	$3,210.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,144.25 / $2,971.50 / $3,802.63	Professional		$1,144.25	$2,971.50	$3,802.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,768.75 / $2,051.75 / $3,066.80	Professional		$1,768.75	$2,051.75	$3,066.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $579.79 / $2,245.39 / $3,210.91	Facility		$579.79	$2,245.39	$3,210.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.25 / $2,080.50 / $3,099.70	Professional		$660.25	$2,080.50	$3,099.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,206.32 / $1,302.56 / $2,995.89	Professional		$1,206.32	$1,302.56	$2,995.89