Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,544.96 / $4,494.31 / $15,889.00	Facility		$2,544.96	$4,494.31	$15,889.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,235.38 / $2,672.88 / $4,519.60	Professional		$2,235.38	$2,672.88	$4,519.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,429.89	Professional		$2,429.89	$2,429.89	$2,429.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.19 / $4,519.60 / $6,327.44	Facility		$2,454.19	$4,519.60	$6,327.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $4,859.78	Professional		$2,429.89	$2,429.89	$4,859.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,642.80 / $4,082.15 / $6,414.80	Facility		$3,642.80	$4,082.15	$6,414.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,915.82 / $3,498.98 / $3,498.98	Professional		$2,915.82	$3,498.98	$3,498.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $4,519.60 / $6,327.44	Facility		$2,429.89	$4,519.60	$6,327.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,805.24 / $3,455.78	Professional		$2,429.89	$2,805.24	$3,455.78
United Facility/Professional Professional Modifier Low / Median / High Price $2,575.67 / $3,644.84 / $7,289.67	Professional		$2,575.67	$3,644.84	$7,289.67