Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,095.50 / $1,207.48 / $5,808.09	Professional		$1,095.50	$1,207.48	$5,808.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.38 / $1,667.48 / $3,680.35	Professional		$1,071.38	$1,667.48	$3,680.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,110.32 / $5,808.09 / $8,131.33	Facility		$1,110.32	$5,808.09	$8,131.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,719.53 / $4,017.33 / $7,404.32	Professional		$2,719.53	$4,017.33	$7,404.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,845.04 / $5,172.80 / $8,298.20	Professional		$2,845.04	$5,172.80	$8,298.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,110.32 / $5,808.09 / $8,131.33	Facility		$1,110.32	$5,808.09	$8,131.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,322.45 / $3,991.20 / $7,113.03	Professional		$1,322.45	$3,991.20	$7,113.03
United Facility/Professional Professional Modifier Low / Median / High Price $2,534.67 / $2,944.28 / $8,121.33	Professional		$2,534.67	$2,944.28	$8,121.33