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 $386.68 / $458.57 / $2,265.67	Professional		$386.68	$458.57	$2,265.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,382.67 / $1,382.67 / $1,382.67	Professional		$1,382.67	$1,382.67	$1,382.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $510.90 / $2,265.67 / $3,239.92	Facility		$510.90	$2,265.67	$3,239.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,002.75 / $2,604.00 / $3,343.28	Professional		$1,002.75	$2,604.00	$3,343.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,550.00 / $1,798.00 / $2,587.19	Professional		$1,550.00	$1,798.00	$2,587.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $510.90 / $2,265.67 / $3,239.92	Facility		$510.90	$2,265.67	$3,239.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $558.13 / $1,762.50 / $2,620.25	Professional		$558.13	$1,762.50	$2,620.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,106.14 / $1,668.73 / $2,765.35	Professional		$1,106.14	$1,668.73	$2,765.35