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 $1,041.76 / $2,849.83 / $3,503.29	Professional		$1,041.76	$2,849.83	$3,503.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,959.84 / $1,959.84 / $1,959.84	Professional		$1,959.84	$1,959.84	$1,959.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $739.33 / $2,849.83 / $4,075.26	Facility		$739.33	$2,849.83	$4,075.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.80 / $3,876.60 / $4,886.51	Professional		$1,492.80	$3,876.60	$4,886.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,307.50 / $2,676.70 / $3,535.40	Professional		$2,307.50	$2,676.70	$3,535.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $739.33 / $2,849.83 / $4,075.26	Facility		$739.33	$2,849.83	$4,075.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $782.80 / $2,557.50 / $3,675.04	Professional		$782.80	$2,557.50	$3,675.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,490.76 / $1,580.07 / $3,428.75	Professional		$1,490.76	$1,580.07	$3,428.75