Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,412.23 / $10,900.00 / $14,552.94	Facility		$2,412.23	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,889.35 / $3,889.35 / $5,056.72	Professional		$3,889.35	$3,889.35	$5,056.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,764.68 / $2,764.68 / $2,764.68	Professional		$2,764.68	$2,764.68	$2,764.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,008.58 / $3,889.35 / $5,561.77	Facility		$1,008.58	$3,889.35	$5,561.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,984.45 / $5,153.39 / $6,648.07	Professional		$1,984.45	$5,153.39	$6,648.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,067.50 / $3,558.30 / $4,974.20	Professional		$3,067.50	$3,558.30	$4,974.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,008.58 / $3,889.35 / $5,561.77	Facility		$1,008.58	$3,889.35	$5,561.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,082.53 / $3,537.00 / $5,082.17	Professional		$1,082.53	$3,537.00	$5,082.17
United Facility/Professional Professional Modifier Low / Median / High Price $2,151.80 / $3,317.61 / $4,949.14	Professional		$2,151.80	$3,317.61	$4,949.14