Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,079.15 / $6,079.15 / $6,079.15	Professional		$6,079.15	$6,079.15	$6,079.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,282.89 / $3,282.89 / $3,282.89	Facility		$3,282.89	$3,282.89	$3,282.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,790.46 / $3,282.89 / $3,381.38	Professional		$2,790.46	$3,282.89	$3,381.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,944.86 / $3,301.56 / $4,839.38	Facility		$1,944.86	$3,301.56	$4,839.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $554.27 / $557.02 / $586.34	Professional		$554.27	$557.02	$586.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.79 / $4,524.70 / $7,184.45	Professional		$465.79	$4,524.70	$7,184.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,364.69 / $3,282.89 / $4,784.39	Facility		$2,364.69	$3,282.89	$4,784.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,790.46 / $3,282.89 / $3,381.38	Professional		$2,790.46	$3,282.89	$3,381.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,881.68 / $5,523.22 / $10,085.87	Professional		$2,881.68	$5,523.22	$10,085.87