Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $2,884.03	Professional		$2,137.96	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,380.38	Professional		$1,148.15	$1,348.96	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $275.42 / $1,862.09	Facility		$269.15	$275.42	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $2,041.74 / $2,884.03	Professional		$60.26	$2,041.74	$2,884.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $269.15 / $2,691.53	Facility		$234.42	$269.15	$2,691.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $524.81 / $2,691.53	Professional		$229.09	$524.81	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,238.72	Facility		$1,096.48	$1,479.11	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,348.96 / $2,818.38	Professional		$60.26	$1,348.96	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $870.96 / $2,137.96	Facility		$114.82	$870.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,630.27 / $4,786.30	Professional		$1,348.96	$2,630.27	$4,786.30