Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $27,542.29 / $42,657.95	Facility		$15,135.61	$27,542.29	$42,657.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25,118.86 / $25,118.86 / $42,657.95	Professional		$25,118.86	$25,118.86	$42,657.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $5,011.87	Professional		$4,073.80	$4,073.80	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $15,848.93	Facility		$2,630.27	$3,548.13	$15,848.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $10,471.29 / $11,220.18	Professional		$3,548.13	$10,471.29	$11,220.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $12,882.50 / $14,125.38	Facility		$3,548.13	$12,882.50	$14,125.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $7,943.28 / $7,943.28	Professional		$5,248.07	$7,943.28	$7,943.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $6,456.54	Facility		$2,344.23	$2,884.03	$6,456.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $7,079.46 / $10,715.19	Professional		$1,584.89	$7,079.46	$10,715.19