Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.24 / $900.82 / $2,083.33	Professional		$758.24	$900.82	$2,083.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $836.02 / $1,688.74 / $3,208.19	Professional		$836.02	$1,688.74	$3,208.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,496.00 / $1,760.00 / $3,721.51	Facility		$1,496.00	$1,760.00	$3,721.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,132.44 / $2,558.94 / $4,614.75	Professional		$2,132.44	$2,558.94	$4,614.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,078.40 / $2,614.59 / $3,363.10	Professional		$2,078.40	$2,614.59	$3,363.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,220.88 / $1,760.00 / $3,721.51	Facility		$1,220.88	$1,760.00	$3,721.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,056.64 / $2,381.02 / $3,385.20	Professional		$1,056.64	$2,381.02	$3,385.20
United Facility/Professional Professional Modifier Low / Median / High Price $921.49 / $2,566.56 / $3,849.84	Professional		$921.49	$2,566.56	$3,849.84