Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,823.91 / $10,900.00 / $14,552.94	Facility		$3,823.91	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.49 / $1,448.05 / $6,990.83	Professional		$1,300.49	$1,448.05	$6,990.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,285.06 / $2,002.31 / $4,446.09	Professional		$1,285.06	$2,002.31	$4,446.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,330.19 / $6,990.83 / $9,787.16	Facility		$1,330.19	$6,990.83	$9,787.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,246.78 / $4,826.93 / $8,916.82	Professional		$3,246.78	$4,826.93	$8,916.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,515.33 / $6,217.60 / $9,907.01	Professional		$3,515.33	$6,217.60	$9,907.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,330.19 / $6,990.83 / $9,787.16	Facility		$1,330.19	$6,990.83	$9,787.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,579.10 / $4,774.80 / $8,576.58	Professional		$1,579.10	$4,774.80	$8,576.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,777.67 / $3,556.88 / $9,811.08	Professional		$1,777.67	$3,556.88	$9,811.08