Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,248.71 / $8,719.62 / $14,814.90	Facility		$5,248.71	$8,719.62	$14,814.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,232.83 / $4,232.83 / $4,232.83	Professional		$4,232.83	$4,232.83	$4,232.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,490.48 / $3,490.48 / $3,490.48	Facility		$3,490.48	$3,490.48	$3,490.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,052.95 / $6,052.95 / $6,052.95	Facility		$6,052.95	$6,052.95	$6,052.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.53 / $1,263.53 / $4,068.57	Professional		$1,263.53	$1,263.53	$4,068.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,675.06 / $4,675.06 / $5,054.12	Facility		$4,675.06	$4,675.06	$5,054.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,137.18 / $2,842.94 / $2,842.94	Professional		$1,137.18	$2,842.94	$2,842.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,490.48 / $4,864.59 / $6,052.95	Facility		$3,490.48	$4,864.59	$6,052.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,474.71 / $3,474.71 / $3,474.71	Professional		$3,474.71	$3,474.71	$3,474.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,263.53 / $2,527.06 / $3,812.34	Professional		$1,263.53	$2,527.06	$3,812.34