Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $14,454.40 / $25,118.86	Facility		$3,019.95	$14,454.40	$25,118.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $6,760.83	Professional		$1,318.26	$1,905.46	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $9,772.37	Facility		$2,041.74	$2,041.74	$9,772.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,041.74 / $6,606.93	Professional		$1,949.84	$2,041.74	$6,606.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $7,585.78 / $8,128.31	Facility		$2,041.74	$7,585.78	$8,128.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,623.41 / $9,772.37	Facility		$1,621.81	$5,623.41	$9,772.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $4,073.80 / $6,165.95	Professional		$1,230.27	$4,073.80	$6,165.95