Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.22 / $10,900.00 / $14,552.94	Facility		$1,277.22	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,109.94 / $2,109.94 / $2,759.04	Professional		$2,109.94	$2,109.94	$2,759.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,442.32 / $1,442.32 / $1,442.32	Professional		$1,442.32	$1,442.32	$1,442.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $542.65 / $2,109.94 / $3,017.23	Facility		$542.65	$2,109.94	$3,017.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.09 / $2,995.08 / $3,539.64	Professional		$1,166.09	$2,995.08	$3,539.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,802.50 / $2,090.90 / $2,981.00	Professional		$1,802.50	$2,090.90	$2,981.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.65 / $2,109.94 / $3,017.23	Facility		$542.65	$2,109.94	$3,017.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $641.73 / $1,987.50 / $3,096.18	Professional		$641.73	$1,987.50	$3,096.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,153.85 / $1,740.72 / $2,700.34	Professional		$1,153.85	$1,740.72	$2,700.34