Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.53 / $2,165.13 / $2,165.13	Professional		$412.53	$2,165.13	$2,165.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,119.74 / $1,506.60 / $1,942.89	Professional		$1,119.74	$1,506.60	$1,942.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $423.08 / $2,165.13 / $3,031.18	Facility		$423.08	$2,165.13	$3,031.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.59 / $1,320.72 / $2,681.17	Professional		$1,100.59	$1,320.72	$2,681.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,430.00 / $1,980.09 / $2,668.00	Professional		$1,430.00	$1,980.09	$2,668.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $423.08 / $2,165.13 / $3,031.18	Facility		$423.08	$2,165.13	$3,031.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.49 / $1,980.09 / $3,048.19	Professional		$676.49	$1,980.09	$3,048.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,157.33 / $1,818.29 / $2,742.01	Professional		$1,157.33	$1,818.29	$2,742.01