Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,827.36 / $5,827.36 / $5,827.36	Professional		$5,827.36	$5,827.36	$5,827.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,446.40 / $2,446.40 / $2,446.40	Facility		$2,446.40	$2,446.40	$2,446.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,079.44 / $2,446.40 / $2,519.79	Professional		$2,079.44	$2,446.40	$2,519.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,718.32 / $2,799.15 / $4,065.90	Facility		$2,718.32	$2,799.15	$4,065.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $530.57 / $530.57 / $530.57	Professional		$530.57	$530.57	$530.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.69 / $688.69 / $7,917.25	Professional		$316.69	$688.69	$7,917.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,718.32 / $2,785.48 / $4,065.90	Facility		$2,718.32	$2,785.48	$4,065.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,079.44 / $2,446.40 / $2,519.79	Professional		$2,079.44	$2,446.40	$2,519.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,844.36 / $3,535.02 / $6,455.25	Professional		$1,844.36	$3,535.02	$6,455.25