Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,602.20 / $10,900.00 / $14,552.94	Facility		$4,602.20	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,575.13 / $1,738.83 / $8,413.70	Professional		$1,575.13	$1,738.83	$8,413.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,545.17 / $2,392.46 / $5,341.11	Professional		$1,545.17	$2,392.46	$5,341.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,596.61 / $8,413.70 / $11,779.18	Facility		$1,596.61	$8,413.70	$11,779.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,903.43 / $5,818.05 / $10,740.79	Professional		$3,903.43	$5,818.05	$10,740.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,096.39 / $7,448.00 / $11,910.62	Professional		$4,096.39	$7,448.00	$11,910.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,596.61 / $8,413.70 / $11,779.18	Facility		$1,596.61	$8,413.70	$11,779.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,895.39 / $5,733.60 / $10,266.92	Professional		$1,895.39	$5,733.60	$10,266.92
United Facility/Professional Professional Modifier Low / Median / High Price $3,676.82 / $4,272.88 / $11,786.06	Professional		$3,676.82	$4,272.88	$11,786.06