Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,506.60 / $5,506.60 / $5,506.60	Professional		$5,506.60	$5,506.60	$5,506.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,248.38 / $3,248.38 / $3,248.38	Facility		$3,248.38	$3,248.38	$3,248.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,761.12 / $3,248.38 / $3,248.38	Professional		$2,761.12	$3,248.38	$3,248.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,754.11 / $2,977.62 / $4,393.22	Facility		$1,754.11	$2,977.62	$4,393.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $502.08 / $502.39 / $528.83	Professional		$502.08	$502.39	$528.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.66 / $4,391.30 / $10,291.50	Professional		$411.66	$4,391.30	$10,291.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,146.69 / $3,068.73 / $4,343.30	Facility		$2,146.69	$3,068.73	$4,343.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,761.12 / $3,248.38 / $3,248.38	Professional		$2,761.12	$3,248.38	$3,248.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,610.23 / $5,438.00 / $9,135.84	Professional		$2,610.23	$5,438.00	$9,135.84