Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,564.63 / $10,900.00 / $14,552.94	Facility		$5,564.63	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,839.79 / $1,970.09 / $10,173.20	Professional		$1,839.79	$1,970.09	$10,173.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,801.36 / $2,902.05 / $6,556.02	Professional		$1,801.36	$2,902.05	$6,556.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,856.94 / $10,173.20 / $14,242.49	Facility		$1,856.94	$10,173.20	$14,242.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,518.80 / $7,009.53 / $12,979.12	Professional		$4,518.80	$7,009.53	$12,979.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,943.70 / $8,920.00 / $13,788.39	Professional		$4,943.70	$8,920.00	$13,788.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,856.94 / $10,173.20 / $14,242.49	Facility		$1,856.94	$10,173.20	$14,242.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,228.81 / $6,670.80 / $12,476.85	Professional		$2,228.81	$6,670.80	$12,476.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,897.90 / $5,244.82 / $14,467.00	Professional		$1,897.90	$5,244.82	$14,467.00