Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,115.90 / $7,115.90 / $7,115.90	Professional		$7,115.90	$7,115.90	$7,115.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,900.00 / $2,900.00 / $2,900.00	Facility		$2,900.00	$2,900.00	$2,900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,465.00 / $2,900.00 / $2,987.00	Professional		$2,465.00	$2,900.00	$2,987.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,254.36 / $3,826.76 / $5,692.72	Facility		$2,254.36	$3,826.76	$5,692.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.66 / $645.66 / $679.65	Professional		$645.66	$645.66	$679.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $539.91 / $4,760.96 / $13,687.00	Professional		$539.91	$4,760.96	$13,687.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,781.67 / $3,752.02 / $5,628.03	Facility		$2,781.67	$3,752.02	$5,628.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,465.00 / $2,900.00 / $2,987.00	Professional		$2,465.00	$2,900.00	$2,987.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,197.99 / $6,129.49 / $11,192.98	Professional		$3,197.99	$6,129.49	$11,192.98