Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,138.89 / $10,900.00 / $14,552.94	Facility		$3,138.89	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.53 / $5,323.66 / $5,323.66	Professional		$1,021.53	$5,323.66	$5,323.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,679.36 / $3,572.62 / $4,720.85	Professional		$2,679.36	$3,572.62	$4,720.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.74 / $5,323.66 / $7,453.12	Facility		$1,040.74	$5,323.66	$7,453.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,712.25 / $3,254.70 / $6,607.38	Professional		$2,712.25	$3,254.70	$6,607.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,927.50 / $4,863.30 / $6,654.00	Professional		$3,927.50	$4,863.30	$6,654.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,040.74 / $5,323.66 / $7,453.12	Facility		$1,040.74	$5,323.66	$7,453.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,626.36 / $4,729.50 / $6,886.00	Professional		$1,626.36	$4,729.50	$6,886.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,839.44 / $2,858.10 / $5,859.11	Professional		$2,839.44	$2,858.10	$5,859.11