Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.37 / $3,489.56 / $3,489.56	Professional		$2,326.37	$3,489.56	$3,489.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Professional		$2,554.44	$2,554.44	$2,554.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,990.07 / $4,990.07 / $4,990.07	Facility		$4,990.07	$4,990.07	$4,990.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $89.11 / $127.30	Professional		$89.11	$89.11	$127.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,666.71 / $3,666.71 / $5,761.98	Facility		$3,666.71	$3,666.71	$5,761.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,666.71 / $4,990.07 / $8,642.95	Facility		$3,666.71	$4,990.07	$8,642.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $127.30 / $2,554.44	Professional		$89.11	$127.30	$2,554.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,349.17 / $2,389.56 / $2,736.91	Professional		$2,349.17	$2,389.56	$2,736.91