Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,282.01 / $10,900.00 / $14,552.94	Facility		$2,282.01	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,609.01 / $3,609.01 / $5,059.68	Professional		$3,609.01	$3,609.01	$5,059.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,651.15 / $2,651.15 / $2,651.15	Professional		$2,651.15	$2,651.15	$2,651.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $969.19 / $3,609.01 / $5,160.88	Facility		$969.19	$3,609.01	$5,160.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,872.05 / $4,861.50 / $6,340.62	Professional		$1,872.05	$4,861.50	$6,340.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,893.75 / $3,356.75 / $4,961.75	Professional		$2,893.75	$3,356.75	$4,961.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $969.19 / $3,609.01 / $5,160.88	Facility		$969.19	$3,609.01	$5,160.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,056.88 / $3,336.00 / $4,976.39	Professional		$1,056.88	$3,336.00	$4,976.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,952.09 / $3,181.38 / $4,952.04	Professional		$1,952.09	$3,181.38	$4,952.04