Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,396.87 / $10,900.00 / $14,552.94	Facility		$2,396.87	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,225.03 / $4,603.66 / $4,603.66	Professional		$4,225.03	$4,603.66	$4,603.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,841.15 / $2,841.15 / $2,841.15	Professional		$2,841.15	$2,841.15	$2,841.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,004.33 / $4,603.66 / $6,583.23	Facility		$1,004.33	$4,603.66	$6,583.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,952.93 / $5,071.50 / $6,585.80	Professional		$1,952.93	$5,071.50	$6,585.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,018.75 / $3,501.75 / $5,352.00	Professional		$3,018.75	$3,501.75	$5,352.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,004.33 / $4,603.66 / $6,583.23	Facility		$1,004.33	$4,603.66	$6,583.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $798.00 / $3,624.00 / $5,536.56	Professional		$798.00	$3,624.00	$5,536.56
United Facility/Professional Professional Modifier Low / Median / High Price $2,272.92 / $2,272.92 / $5,134.20	Professional		$2,272.92	$2,272.92	$5,134.20