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 $716.88 / $866.59 / $4,136.24	Professional		$716.88	$866.59	$4,136.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,662.22 / $2,662.22 / $2,662.22	Professional		$2,662.22	$2,662.22	$2,662.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $973.95 / $3,826.27 / $5,471.57	Facility		$973.95	$3,826.27	$5,471.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.78 / $5,182.80 / $6,422.78	Professional		$1,995.78	$5,182.80	$6,422.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,599.80 / $3,578.60 / $5,022.60	Professional		$2,599.80	$3,578.60	$5,022.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $973.95 / $3,826.27 / $5,471.57	Facility		$973.95	$3,826.27	$5,471.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,094.40 / $3,095.00 / $5,137.92	Professional		$1,094.40	$3,095.00	$5,137.92
United Facility/Professional Professional Modifier Low / Median / High Price $2,090.32 / $2,129.78 / $5,324.45	Professional		$2,090.32	$2,129.78	$5,324.45