Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,226.88 / $6,226.88 / $6,226.88	Professional		$6,226.88	$6,226.88	$6,226.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,642.21 / $1,642.21 / $1,642.21	Facility		$1,642.21	$1,642.21	$1,642.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,395.88 / $1,642.21 / $1,691.48	Professional		$1,395.88	$1,642.21	$1,691.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,979.32 / $3,360.06 / $4,973.14	Facility		$1,979.32	$3,360.06	$4,973.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $566.89 / $566.91 / $596.75	Professional		$566.89	$566.91	$596.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.05 / $1,166.25 / $12,362.25	Professional		$474.05	$1,166.25	$12,362.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,895.41 / $3,277.75 / $4,916.63	Facility		$1,895.41	$3,277.75	$4,916.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,395.88 / $1,642.21 / $1,691.48	Professional		$1,395.88	$1,642.21	$1,691.48
United Facility/Professional Professional Modifier Low / Median / High Price $2,951.64 / $5,657.31 / $10,330.74	Professional		$2,951.64	$5,657.31	$10,330.74