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 $485.26 / $521.64 / $2,598.96	Professional		$485.26	$521.64	$2,598.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.37 / $776.27 / $1,618.77	Professional		$477.37	$776.27	$1,618.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $490.28 / $2,598.96 / $3,638.56	Facility		$490.28	$2,598.96	$3,638.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,206.53 / $1,776.99 / $3,306.93	Professional		$1,206.53	$1,776.99	$3,306.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,324.80 / $2,281.60 / $3,681.51	Professional		$1,324.80	$2,281.60	$3,681.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $490.28 / $2,598.96 / $3,638.56	Facility		$490.28	$2,598.96	$3,638.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $605.36 / $1,791.60 / $3,205.40	Professional		$605.36	$1,791.60	$3,205.40
United Facility/Professional Professional Modifier Low / Median / High Price $655.28 / $1,295.02 / $3,572.11	Professional		$655.28	$1,295.02	$3,572.11