Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,585.08 / $4,585.08 / $4,932.59	Professional		$4,585.08	$4,585.08	$4,932.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,594.60 / $1,594.60 / $3,112.05	Professional		$1,594.60	$1,594.60	$3,112.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,585.08 / $6,419.11 / $6,556.66	Facility		$4,585.08	$6,419.11	$6,556.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,173.21 / $2,588.53 / $2,897.61	Professional		$2,173.21	$2,588.53	$2,897.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,142.40 / $3,998.70 / $4,329.70	Professional		$2,142.40	$3,998.70	$4,329.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,585.08 / $6,419.11 / $6,556.66	Facility		$4,585.08	$6,419.11	$6,556.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,289.63 / $2,895.50 / $6,142.08	Professional		$1,289.63	$2,895.50	$6,142.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,037.78 / $2,489.64 / $3,755.88	Professional		$1,037.78	$2,489.64	$3,755.88