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 $3,946.05 / $3,946.05 / $5,477.05	Professional		$3,946.05	$3,946.05	$5,477.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,902.66 / $2,902.66 / $2,902.66	Professional		$2,902.66	$2,902.66	$2,902.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,058.83 / $3,946.05 / $5,642.85	Facility		$1,058.83	$3,946.05	$5,642.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,039.45 / $5,296.20 / $6,929.39	Professional		$2,039.45	$5,296.20	$6,929.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,152.50 / $3,656.90 / $5,365.80	Professional		$3,152.50	$3,656.90	$5,365.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,058.83 / $3,946.05 / $5,642.85	Facility		$1,058.83	$3,946.05	$5,642.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,156.15 / $3,645.00 / $5,427.82	Professional		$1,156.15	$3,645.00	$5,427.82
United Facility/Professional Professional Modifier Low / Median / High Price $2,129.07 / $3,483.18 / $5,360.52	Professional		$2,129.07	$3,483.18	$5,360.52