Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,210.58 / $4,210.58 / $4,210.58	Professional		$4,210.58	$4,210.58	$4,210.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,569.13 / $2,569.13 / $2,569.13	Facility		$2,569.13	$2,569.13	$2,569.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,183.76 / $2,183.76 / $2,183.76	Professional		$2,183.76	$2,183.76	$2,183.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,333.95 / $2,318.80 / $3,368.46	Facility		$1,333.95	$2,318.80	$3,368.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.95 / $3,215.40 / $4,976.14	Professional		$323.95	$3,215.40	$4,976.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,612.31 / $2,359.34 / $3,330.19	Facility		$1,612.31	$2,359.34	$3,330.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,183.76 / $2,183.76 / $2,183.76	Professional		$2,183.76	$2,183.76	$2,183.76
United Facility/Professional Professional Modifier Low / Median / High Price $200.63 / $384.54 / $667.34	Professional		$200.63	$384.54	$667.34