Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,011.65 / $5,440.40 / $8,500.62	Facility		$3,011.65	$5,440.40	$8,500.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,954.64 / $5,440.40 / $8,379.19	Professional		$4,954.64	$5,440.40	$8,379.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,002.81 / $2,002.81 / $2,002.81	Facility		$2,002.81	$2,002.81	$2,002.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,473.11 / $3,473.11 / $3,473.11	Facility		$3,473.11	$3,473.11	$3,473.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $725.00 / $2,334.50	Professional		$725.00	$725.00	$2,334.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,682.50 / $2,682.50 / $2,900.00	Facility		$2,682.50	$2,682.50	$2,900.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.50 / $1,631.25 / $1,631.25	Professional		$652.50	$1,631.25	$1,631.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,002.81 / $2,791.25 / $3,473.11	Facility		$2,002.81	$2,791.25	$3,473.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,993.75 / $1,993.75 / $1,993.75	Professional		$1,993.75	$1,993.75	$1,993.75
United Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $1,450.00 / $2,187.48	Professional		$725.00	$1,450.00	$2,187.48