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 $5,707.98 / $5,983.11 / $5,983.11	Professional		$5,707.98	$5,983.11	$5,983.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,339.61 / $1,339.61 / $3,527.39	Professional		$1,339.61	$1,339.61	$3,527.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,311.21 / $1,586.52 / $8,555.85	Facility		$1,311.21	$1,586.52	$8,555.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,602.28 / $3,122.73 / $7,476.38	Professional		$2,602.28	$3,122.73	$7,476.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,792.50 / $4,367.25 / $5,888.94	Professional		$3,792.50	$4,367.25	$5,888.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,586.52 / $1,586.52 / $8,555.85	Facility		$1,586.52	$1,586.52	$8,555.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,171.00 / $4,930.20 / $6,770.25	Professional		$1,171.00	$4,930.20	$6,770.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,211.35 / $2,821.92 / $8,545.23	Professional		$1,211.35	$2,821.92	$8,545.23