Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,957.18 / $2,957.18 / $4,086.98	Professional		$2,957.18	$2,957.18	$4,086.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,165.07 / $2,165.07 / $2,165.07	Professional		$2,165.07	$2,165.07	$2,165.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $795.21 / $2,957.18 / $4,228.77	Facility		$795.21	$2,957.18	$4,228.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,544.55 / $4,011.00 / $5,198.96	Professional		$1,544.55	$4,011.00	$5,198.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,387.50 / $2,769.50 / $4,028.20	Professional		$2,387.50	$2,769.50	$4,028.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $795.21 / $2,957.18 / $4,228.77	Facility		$795.21	$2,957.18	$4,228.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $867.35 / $2,734.50 / $4,071.98	Professional		$867.35	$2,734.50	$4,071.98
United Facility/Professional Facility Modifier Low / Median / High Price $10,167.24 / $10,167.24 / $10,167.24	Facility		$10,167.24	$10,167.24	$10,167.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,606.69 / $2,598.09 / $4,000.02	Professional		$1,606.69	$2,598.09	$4,000.02