Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $30,902.95 / $30,902.95	Facility		$5,128.61	$30,902.95	$30,902.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $8,912.51	Professional		$4,786.30	$4,786.30	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $15,488.17	Professional		$4,786.30	$4,786.30	$15,488.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,585.78 / $12,022.64	Facility		$4,786.30	$7,585.78	$12,022.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $12,589.25	Facility		$8,912.51	$8,912.51	$12,589.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $4,786.30 / $5,128.61	Professional		$60.26	$4,786.30	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $7,244.36 / $9,549.93	Professional		$2,570.40	$7,244.36	$9,549.93