Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,241.02 / $10,900.00 / $14,552.94	Facility		$3,241.02	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,044.81 / $5,354.11 / $5,354.11	Professional		$1,044.81	$5,354.11	$5,354.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,764.74 / $3,727.47 / $4,869.22	Professional		$2,764.74	$3,727.47	$4,869.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,076.86 / $5,354.11 / $7,495.75	Facility		$1,076.86	$5,354.11	$7,495.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,063.23 / $3,675.87 / $7,462.36	Professional		$3,063.23	$3,675.87	$7,462.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,646.50 / $5,492.60 / $6,932.04	Professional		$3,646.50	$5,492.60	$6,932.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.33 / $5,354.11 / $7,495.75	Facility		$1,174.33	$5,354.11	$7,495.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,768.13 / $5,053.85 / $7,522.22	Professional		$1,768.13	$5,053.85	$7,522.22
United Facility/Professional Professional Modifier Low / Median / High Price $2,971.50 / $4,498.63 / $6,784.00	Professional		$2,971.50	$4,498.63	$6,784.00