Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $10,000.00 / $20,417.38	Facility		$2,344.23	$10,000.00	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,630.27	Professional		$870.96	$1,047.13	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $2,818.38	Professional		$870.96	$1,288.25	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,380.38 / $3,311.31	Facility		$933.25	$1,380.38	$3,311.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $5,248.07	Professional		$1,905.46	$2,691.53	$5,248.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,715.35 / $5,128.61	Professional		$2,238.72	$3,715.35	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,445.44 / $3,311.31	Facility		$933.25	$1,445.44	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,380.38 / $2,818.38	Professional		$60.26	$1,380.38	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $2,290.87 / $5,495.41	Professional		$831.76	$2,290.87	$5,495.41