Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,623.60 / $1,623.60 / $1,623.60	Professional		$1,623.60	$1,623.60	$1,623.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.10 / $881.10 / $881.10	Facility		$881.10	$881.10	$881.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.94 / $881.10 / $907.53	Professional		$748.94	$881.10	$907.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $628.07 / $863.94 / $1,221.61	Facility		$628.07	$863.94	$1,221.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $147.94 / $147.94	Professional		$132.80	$147.94	$147.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.38 / $1,089.50 / $2,723.75	Professional		$272.38	$1,089.50	$2,723.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $628.07 / $874.57 / $1,221.61	Facility		$628.07	$874.57	$1,221.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $748.94 / $881.10 / $907.53	Professional		$748.94	$881.10	$907.53
United Facility/Professional Professional Modifier Low / Median / High Price $924.05 / $1,771.10 / $3,076.53	Professional		$924.05	$1,771.10	$3,076.53