Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $10,900.00 / $17,695.00	Facility		$2,236.00	$10,900.00	$17,695.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,265.00 / $2,387.39 / $2,761.11	Professional		$2,265.00	$2,387.39	$2,761.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,462.11 / $1,462.11 / $1,462.11	Professional		$1,462.11	$1,462.11	$1,462.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $538.89 / $2,387.39 / $3,413.97	Facility		$538.89	$2,387.39	$3,413.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.08 / $2,732.10 / $3,525.41	Professional		$1,052.08	$2,732.10	$3,525.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,626.25 / $1,886.45 / $2,734.60	Professional		$1,626.25	$1,886.45	$2,734.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $538.89 / $2,387.39 / $3,413.97	Facility		$538.89	$2,387.39	$3,413.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.53 / $1,855.50 / $2,762.97	Professional		$588.53	$1,855.50	$2,762.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,169.68 / $1,764.59 / $2,924.20	Professional		$1,169.68	$1,764.59	$2,924.20