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 $2,963.99 / $2,963.99 / $4,096.47	Professional		$2,963.99	$2,963.99	$4,096.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,170.14 / $2,170.14 / $2,170.14	Professional		$2,170.14	$2,170.14	$2,170.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $797.01 / $2,963.99 / $4,238.51	Facility		$797.01	$2,963.99	$4,238.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,547.78 / $4,019.40 / $5,212.09	Professional		$1,547.78	$4,019.40	$5,212.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,392.50 / $2,775.30 / $4,037.00	Professional		$2,392.50	$2,775.30	$4,037.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $797.01 / $2,963.99 / $4,238.51	Facility		$797.01	$2,963.99	$4,238.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $868.78 / $2,740.50 / $4,078.67	Professional		$868.78	$2,740.50	$4,078.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,610.14 / $1,743.18 / $4,009.31	Professional		$1,610.14	$1,743.18	$4,009.31