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 / $14,552.94	Facility		$3,741.00	$10,480.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.14 / $3,403.29 / $3,727.28	Professional		$622.14	$3,403.29	$3,727.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,412.87 / $2,412.87 / $2,412.87	Professional		$2,412.87	$2,412.87	$2,412.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $882.11 / $3,403.29 / $4,866.70	Facility		$882.11	$3,403.29	$4,866.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,738.63 / $4,515.00 / $5,815.88	Professional		$1,738.63	$4,515.00	$5,815.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,687.50 / $3,117.50 / $4,331.80	Professional		$2,687.50	$3,117.50	$4,331.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $882.11 / $3,403.29 / $4,866.70	Facility		$882.11	$3,403.29	$4,866.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $943.35 / $3,091.50 / $4,428.78	Professional		$943.35	$3,091.50	$4,428.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,846.42 / $2,895.45 / $4,305.88	Professional		$1,846.42	$2,895.45	$4,305.88