Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,993.32 / $9,577.00 / $13,413.92	Facility		$1,993.32	$9,577.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.87 / $959.39 / $3,219.12	Professional		$448.87	$959.39	$3,219.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,816.73 / $1,816.73 / $1,816.73	Professional		$1,816.73	$1,816.73	$1,816.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $702.27 / $2,704.51 / $3,867.45	Facility		$702.27	$2,704.51	$3,867.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,434.58 / $3,725.40 / $4,637.04	Professional		$1,434.58	$3,725.40	$4,637.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,217.50 / $2,572.30 / $3,291.20	Professional		$2,217.50	$2,572.30	$3,291.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $702.27 / $2,704.51 / $3,867.45	Facility		$702.27	$2,704.51	$3,867.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $736.25 / $2,388.00 / $3,456.50	Professional		$736.25	$2,388.00	$3,456.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,369.84 / $2,180.07 / $3,150.63	Professional		$1,369.84	$2,180.07	$3,150.63