Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $28,840.32 / $44,668.36	Facility		$15,848.93	$28,840.32	$44,668.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $3,548.13	Professional		$2,951.21	$3,467.37	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $17,782.79	Facility		$3,715.35	$3,715.35	$17,782.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $11,748.98	Professional		$3,715.35	$3,715.35	$11,748.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $13,489.63 / $14,791.08	Facility		$3,715.35	$13,489.63	$14,791.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $10,232.93 / $17,782.79	Facility		$2,951.21	$10,232.93	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $7,413.10 / $10,964.78	Professional		$2,187.76	$7,413.10	$10,964.78