Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $6,606.93 / $16,595.87	Facility		$1,862.09	$6,606.93	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $2,884.03	Professional		$562.34	$776.25	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $977.24 / $3,981.07	Facility		$602.56	$977.24	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $4,265.80	Professional		$1,318.26	$1,698.24	$4,265.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,801.89	Professional		$2,398.83	$2,398.83	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $4,073.80	Facility		$1,000.00	$2,884.03	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $588.84 / $2,137.96	Professional		$60.26	$588.84	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $3,890.45	Professional		$1,513.56	$1,698.24	$3,890.45