Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,594.05 / $4,684.32 / $16,560.70	Facility		$2,594.05	$4,684.32	$16,560.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,585.41 / $2,868.97 / $4,851.17	Professional		$2,585.41	$2,868.97	$4,851.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,608.16	Professional		$2,608.16	$2,608.16	$2,608.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,634.24 / $4,851.17 / $6,791.64	Facility		$2,634.24	$4,851.17	$6,791.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $5,216.32	Professional		$2,608.16	$2,608.16	$5,216.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,124.58 / $4,958.16 / $7,791.39	Facility		$4,124.58	$4,958.16	$7,791.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,541.54 / $4,249.85 / $4,249.85	Professional		$3,541.54	$4,249.85	$4,249.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,608.16 / $4,851.17 / $6,791.64	Facility		$2,608.16	$4,851.17	$6,791.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $3,050.14 / $3,863.50	Professional		$2,608.16	$3,050.14	$3,863.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,764.65 / $3,912.24 / $7,824.48	Professional		$2,764.65	$3,912.24	$7,824.48