Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,984.81 / $3,122.60 / $3,122.60	Professional		$2,984.81	$3,122.60	$3,122.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.20 / $783.20 / $1,823.99	Professional		$783.20	$783.20	$1,823.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $694.05 / $847.34 / $4,465.32	Facility		$694.05	$847.34	$4,465.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,656.45 / $3,921.44	Professional		$1,380.38	$1,656.45	$3,921.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,977.50 / $2,308.50 / $3,123.81	Professional		$1,977.50	$2,308.50	$3,123.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $847.34 / $847.34 / $4,465.32	Facility		$847.34	$847.34	$4,465.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $614.00 / $2,574.00 / $3,537.00	Professional		$614.00	$2,574.00	$3,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.23 / $1,459.20 / $4,418.68	Professional		$628.23	$1,459.20	$4,418.68