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 $3,372.66 / $3,595.52 / $5,778.18	Professional		$3,372.66	$3,595.52	$5,778.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,152.07 / $2,152.07 / $2,152.07	Professional		$2,152.07	$2,152.07	$2,152.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $790.44 / $3,595.52 / $5,141.59	Facility		$790.44	$3,595.52	$5,141.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,609.25 / $4,179.00 / $5,171.60	Professional		$1,609.25	$4,179.00	$5,171.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,487.50 / $2,885.50 / $4,192.39	Professional		$2,487.50	$2,885.50	$4,192.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $790.44 / $3,595.52 / $5,141.59	Facility		$790.44	$3,595.52	$5,141.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $625.10 / $2,839.50 / $4,279.81	Professional		$625.10	$2,839.50	$4,279.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,709.52 / $2,582.48 / $3,931.90	Professional		$1,709.52	$2,582.48	$3,931.90