Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,164.27 / $4,164.27 / $4,164.27	Professional		$4,164.27	$4,164.27	$4,164.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $2,160.00	Facility		$2,160.00	$2,160.00	$2,160.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,836.00 / $2,160.00 / $2,224.80	Professional		$1,836.00	$2,160.00	$2,224.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,089.17 / $1,913.88 / $2,924.94	Facility		$1,089.17	$1,913.88	$2,924.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.74 / $377.84 / $377.84	Professional		$331.74	$377.84	$377.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,159.60 / $3,203.90 / $4,921.41	Professional		$3,159.60	$3,203.90	$4,921.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,225.61 / $1,951.24 / $2,891.71	Facility		$1,225.61	$1,951.24	$2,891.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,836.00 / $2,160.00 / $2,224.80	Professional		$1,836.00	$2,160.00	$2,224.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,643.06 / $3,149.19 / $5,501.95	Professional		$1,643.06	$3,149.19	$5,501.95