Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,243.00 / $9,813.00 / $14,552.94	Facility		$7,243.00	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,135.18 / $6,153.04 / $6,153.04	Professional		$1,135.18	$6,153.04	$6,153.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,045.57 / $3,994.98 / $5,589.23	Professional		$3,045.57	$3,994.98	$5,589.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,581.77 / $6,153.04 / $8,614.26	Facility		$1,581.77	$6,153.04	$8,614.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $790.35 / $790.35 / $1,129.08	Professional		$790.35	$790.35	$1,129.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,971.25 / $5,393.25 / $6,936.01	Professional		$2,971.25	$5,393.25	$6,936.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,581.77 / $6,153.04 / $8,614.26	Facility		$1,581.77	$6,153.04	$8,614.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,782.75 / $4,993.75 / $6,413.75	Professional		$1,782.75	$4,993.75	$6,413.75
United Facility/Professional Professional Modifier Low / Median / High Price $3,195.98 / $4,821.47 / $7,270.85	Professional		$3,195.98	$4,821.47	$7,270.85