Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,858.06 / $2,858.06 / $4,013.05	Professional		$2,858.06	$2,858.06	$4,013.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,121.08 / $2,121.08 / $2,121.08	Professional		$2,121.08	$2,121.08	$2,121.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $765.50 / $2,858.06 / $4,087.03	Facility		$765.50	$2,858.06	$4,087.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,451.55 / $3,769.50 / $5,011.83	Professional		$1,451.55	$3,769.50	$5,011.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,243.75 / $2,602.75 / $3,883.00	Professional		$2,243.75	$2,602.75	$3,883.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $765.50 / $2,858.06 / $4,087.03	Facility		$765.50	$2,858.06	$4,087.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $835.53 / $2,629.50 / $3,922.57	Professional		$835.53	$2,629.50	$3,922.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,519.06 / $2,545.29 / $3,927.66	Professional		$1,519.06	$2,545.29	$3,927.66