Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,115.60 / $21,886.20 / $34,197.10	Facility		$12,115.60	$21,886.20	$34,197.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19,932.00 / $21,886.20 / $33,708.60	Professional		$19,932.00	$21,886.20	$33,708.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,057.11 / $8,057.11 / $8,057.11	Facility		$8,057.11	$8,057.11	$8,057.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13,971.97 / $13,971.97 / $13,971.97	Facility		$13,971.97	$13,971.97	$13,971.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,916.60 / $2,916.60 / $9,391.45	Professional		$2,916.60	$2,916.60	$9,391.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,208.10 / $10,791.42 / $11,666.40	Facility		$10,208.10	$10,791.42	$11,666.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,624.94 / $6,562.35 / $6,562.35	Professional		$2,624.94	$6,562.35	$6,562.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $8,057.11 / $10,791.42 / $13,971.97	Facility		$8,057.11	$10,791.42	$13,971.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $8,020.65 / $8,020.65 / $8,020.65	Professional		$8,020.65	$8,020.65	$8,020.65
United Facility/Professional Professional Modifier Low / Median / High Price $2,916.60 / $5,833.20 / $8,799.99	Professional		$2,916.60	$5,833.20	$8,799.99