Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,266.00 / $27,577.20 / $43,089.40	Facility		$15,266.00	$27,577.20	$43,089.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25,114.90 / $27,577.20 / $42,473.80	Professional		$25,114.90	$27,577.20	$42,473.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,152.19 / $10,152.19 / $10,152.19	Facility		$10,152.19	$10,152.19	$10,152.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17,605.09 / $17,605.09 / $17,605.09	Facility		$17,605.09	$17,605.09	$17,605.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $3,675.00 / $11,833.50	Professional		$3,675.00	$3,675.00	$11,833.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,862.50 / $13,597.50 / $14,700.00	Facility		$12,862.50	$13,597.50	$14,700.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,307.50 / $8,268.75 / $8,268.75	Professional		$3,307.50	$8,268.75	$8,268.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $10,152.19 / $13,597.50 / $17,605.09	Facility		$10,152.19	$13,597.50	$17,605.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $10,106.25 / $10,106.25 / $10,106.25	Professional		$10,106.25	$10,106.25	$10,106.25
United Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $7,350.00 / $11,088.25	Professional		$3,675.00	$7,350.00	$11,088.25