Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,216.50 / $2,216.50 / $2,216.50	Professional		$2,216.50	$2,216.50	$2,216.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.22 / $989.22 / $989.22	Facility		$989.22	$989.22	$989.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.84 / $989.22 / $1,018.90	Professional		$840.84	$989.22	$1,018.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $679.28 / $990.53 / $1,417.68	Facility		$679.28	$990.53	$1,417.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.11 / $201.84 / $201.84	Professional		$148.11	$201.84	$201.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,215.09 / $1,397.36 / $3,220.02	Professional		$1,215.09	$1,397.36	$3,220.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $709.40 / $989.22 / $1,417.68	Facility		$709.40	$989.22	$1,417.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $840.84 / $989.22 / $1,018.90	Professional		$840.84	$989.22	$1,018.90
United Facility/Professional Professional Modifier Low / Median / High Price $850.48 / $1,680.62 / $3,068.96	Professional		$850.48	$1,680.62	$3,068.96