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 $1,457.63 / $4,176.74 / $4,871.35	Professional		$1,457.63	$4,176.74	$4,871.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,577.27 / $2,577.27 / $2,577.27	Professional		$2,577.27	$2,577.27	$2,577.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $940.73 / $4,176.74 / $5,972.74	Facility		$940.73	$4,176.74	$5,972.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,817.88 / $4,720.80 / $6,155.63	Professional		$1,817.88	$4,720.80	$6,155.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,810.00 / $3,259.60 / $4,787.20	Professional		$2,810.00	$3,259.60	$4,787.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $940.73 / $4,176.74 / $5,972.74	Facility		$940.73	$4,176.74	$5,972.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,029.33 / $3,244.50 / $4,832.41	Professional		$1,029.33	$3,244.50	$4,832.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,895.38 / $3,110.47 / $5,154.55	Professional		$1,895.38	$3,110.47	$5,154.55