Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,097.30 / $16,866.90 / $44,762.20	Facility		$15,097.30	$16,866.90	$44,762.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,974.55 / $12,974.55 / $24,903.40	Professional		$12,974.55	$12,974.55	$24,903.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,699.16 / $10,699.16 / $10,699.16	Facility		$10,699.16	$10,699.16	$10,699.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18,553.61 / $18,553.61 / $18,553.61	Facility		$18,553.61	$18,553.61	$18,553.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $12,471.06	Professional		$3,873.00	$3,873.00	$12,471.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,555.50 / $14,330.10 / $15,492.00	Facility		$13,555.50	$14,330.10	$15,492.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $8,714.25 / $8,714.25	Professional		$3,485.70	$8,714.25	$8,714.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $10,699.16 / $14,330.10 / $18,553.61	Facility		$10,699.16	$14,330.10	$18,553.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $10,650.75 / $10,650.75	Professional		$3,485.70	$10,650.75	$10,650.75
United Facility/Professional Professional Modifier Low / Median / High Price $3,620.55 / $7,746.00 / $11,685.65	Professional		$3,620.55	$7,746.00	$11,685.65