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 $591.83 / $3,295.04 / $3,623.65	Professional		$591.83	$3,295.04	$3,623.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,190.42 / $2,190.42 / $2,190.42	Professional		$2,190.42	$2,190.42	$2,190.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $810.94 / $3,295.04 / $4,711.91	Facility		$810.94	$3,295.04	$4,711.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,674.75 / $4,349.10 / $5,385.71	Professional		$1,674.75	$4,349.10	$5,385.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,588.75 / $3,002.95 / $4,268.00	Professional		$2,588.75	$3,002.95	$4,268.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $810.94 / $3,295.04 / $4,711.91	Facility		$810.94	$3,295.04	$4,711.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $928.63 / $2,926.50 / $4,359.64	Professional		$928.63	$2,926.50	$4,359.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,740.42 / $1,752.34 / $2,643.59	Professional		$1,740.42	$1,752.34	$2,643.59