Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51,286.14 / $281,838.29 / $281,838.29	Facility		$51,286.14	$281,838.29	$281,838.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $51,286.14	Professional		$43,651.58	$43,651.58	$51,286.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $43,651.58	Professional		$43,651.58	$43,651.58	$43,651.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $51,286.14 / $107,151.93	Facility		$43,651.58	$51,286.14	$107,151.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $53,703.18 / $107,151.93	Professional		$43,651.58	$53,703.18	$107,151.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $85,113.80 / $131,825.67	Facility		$43,651.58	$85,113.80	$131,825.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60,255.96 / $72,443.60 / $72,443.60	Professional		$60,255.96	$72,443.60	$72,443.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $47,863.01 / $77,624.71	Facility		$17,378.01	$47,863.01	$77,624.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $40,738.03 / $40,738.03 / $61,659.50	Professional		$40,738.03	$40,738.03	$61,659.50
United Facility/Professional Professional Modifier Low / Median / High Price $40,738.03 / $51,286.14 / $69,183.10	Professional		$40,738.03	$51,286.14	$69,183.10