Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,503.15 / $1,503.15 / $1,503.15	Professional		$1,503.15	$1,503.15	$1,503.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $775.91 / $775.91	Facility		$775.91	$775.91	$775.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.52 / $659.52 / $659.52	Professional		$659.52	$659.52	$659.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $538.07 / $784.03 / $1,122.18	Facility		$538.07	$784.03	$1,122.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $136.96 / $136.96	Professional		$117.19	$136.96	$136.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $96.15 / $1,776.45	Professional		$96.15	$96.15	$1,776.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $561.87 / $775.91 / $1,122.18	Facility		$561.87	$775.91	$1,122.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $659.52 / $659.52 / $659.52	Professional		$659.52	$659.52	$659.52
United Facility/Professional Professional Modifier Low / Median / High Price $694.55 / $1,331.23 / $2,430.94	Professional		$694.55	$1,331.23	$2,430.94