Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,643.89 / $10,480.00 / $13,413.92	Facility		$4,643.89	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,725.75 / $7,876.23 / $7,876.23	Professional		$1,725.75	$7,876.23	$7,876.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,536.29 / $5,830.08 / $7,998.53	Professional		$4,536.29	$5,830.08	$7,998.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,725.75 / $7,876.23 / $11,026.72	Facility		$1,725.75	$7,876.23	$11,026.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,815.02 / $4,925.72 / $9,999.71	Professional		$3,815.02	$4,925.72	$9,999.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,345.00 / $9,425.60 / $12,090.00	Professional		$6,345.00	$9,425.60	$12,090.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,725.75 / $7,876.23 / $11,026.72	Facility		$1,725.75	$7,876.23	$11,026.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,798.23 / $9,058.50 / $13,299.00	Professional		$2,798.23	$9,058.50	$13,299.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,664.06 / $8,162.11 / $10,260.93	Professional		$4,664.06	$8,162.11	$10,260.93