Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,082.53 / $3,082.53 / $3,082.53	Professional		$3,082.53	$3,082.53	$3,082.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,491.30 / $1,491.30 / $1,491.30	Professional		$1,491.30	$1,491.30	$1,491.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,035.50 / $1,370.66 / $1,922.18	Facility		$1,035.50	$1,370.66	$1,922.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $280.68 / $280.68 / $280.68	Professional		$280.68	$280.68	$280.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.67 / $1,974.21 / $3,642.99	Professional		$171.67	$1,974.21	$3,642.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,035.50 / $1,370.66 / $1,922.18	Facility		$1,035.50	$1,370.66	$1,922.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,491.30 / $1,491.30 / $1,491.30	Professional		$1,491.30	$1,491.30	$1,491.30
United Facility/Professional Facility Modifier Low / Median / High Price $98.55 / $721.46 / $1,570.80	Facility		$98.55	$721.46	$1,570.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,110.70 / $2,128.85 / $4,450.77	Professional		$1,110.70	$2,128.85	$4,450.77