Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,637.12 / $4,763.83 / $7,443.48	Facility		$2,637.12	$4,763.83	$7,443.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,338.49 / $4,763.83 / $7,337.15	Professional		$4,338.49	$4,763.83	$7,337.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,753.76 / $1,753.76 / $1,753.76	Facility		$1,753.76	$1,753.76	$1,753.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,041.20 / $3,041.20 / $3,041.20	Facility		$3,041.20	$3,041.20	$3,041.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $634.84 / $634.84 / $2,044.18	Professional		$634.84	$634.84	$2,044.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,348.91 / $2,348.91 / $2,539.36	Facility		$2,348.91	$2,348.91	$2,539.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.36 / $1,428.39 / $1,428.39	Professional		$571.36	$1,428.39	$1,428.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,753.76 / $2,444.13 / $3,041.20	Facility		$1,753.76	$2,444.13	$3,041.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,745.81 / $1,745.81 / $1,745.81	Professional		$1,745.81	$1,745.81	$1,745.81
United Facility/Professional Professional Modifier Low / Median / High Price $634.84 / $1,269.68 / $1,915.45	Professional		$634.84	$1,269.68	$1,915.45