Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,223.28 / $2,223.28 / $3,120.47	Professional		$2,223.28	$2,223.28	$3,120.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,648.70 / $1,648.70 / $1,648.70	Professional		$1,648.70	$1,648.70	$1,648.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $595.96 / $2,223.28 / $3,179.29	Facility		$595.96	$2,223.28	$3,179.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,132.13 / $2,940.00 / $3,901.95	Professional		$1,132.13	$2,940.00	$3,901.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,750.00 / $2,030.00 / $3,022.80	Professional		$1,750.00	$2,030.00	$3,022.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $595.96 / $2,223.28 / $3,179.29	Facility		$595.96	$2,223.28	$3,179.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $650.28 / $2,046.00 / $3,052.87	Professional		$650.28	$2,046.00	$3,052.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,183.98 / $1,978.44 / $3,054.08	Professional		$1,183.98	$1,978.44	$3,054.08