Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,014.25 / $6,014.25 / $21,262.50	Facility		$6,014.25	$6,014.25	$21,262.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,735.00 / $6,075.00 / $6,075.00	Professional		$3,735.00	$6,075.00	$6,075.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Professional		$3,825.00	$3,825.00	$3,825.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8,687.25 / $8,687.25 / $8,687.25	Facility		$8,687.25	$8,687.25	$8,687.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $393.02 / $393.02 / $561.45	Professional		$393.02	$393.02	$561.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,300.00 / $6,300.00 / $9,900.00	Facility		$6,300.00	$6,300.00	$9,900.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,300.00 / $8,687.25 / $14,850.00	Facility		$6,300.00	$8,687.25	$14,850.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $393.02 / $561.45 / $3,825.00	Professional		$393.02	$561.45	$3,825.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $5,625.00 / $7,564.50	Professional		$3,750.00	$5,625.00	$7,564.50