Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,552.01 / $10,900.00 / $14,552.94	Facility		$3,552.01	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,341.53 / $6,822.33 / $6,822.33	Professional		$1,341.53	$6,822.33	$6,822.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,148.70 / $4,148.70 / $4,148.70	Professional		$4,148.70	$4,148.70	$4,148.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,496.92 / $6,822.33 / $9,755.93	Facility		$1,496.92	$6,822.33	$9,755.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,983.98 / $7,749.00 / $9,806.36	Professional		$2,983.98	$7,749.00	$9,806.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,612.50 / $5,350.50 / $7,665.75	Professional		$4,612.50	$5,350.50	$7,665.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,496.92 / $6,822.33 / $9,755.93	Facility		$1,496.92	$6,822.33	$9,755.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,195.01 / $5,373.00 / $8,214.58	Professional		$1,195.01	$5,373.00	$8,214.58
United Facility/Professional Professional Modifier Low / Median / High Price $3,318.96 / $4,978.43 / $7,663.23	Professional		$3,318.96	$4,978.43	$7,663.23