Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,515.53 / $7,515.53 / $7,515.53	Professional		$7,515.53	$7,515.53	$7,515.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.00 / $2,187.00 / $2,187.00	Facility		$2,187.00	$2,187.00	$2,187.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,858.95 / $2,187.00 / $2,252.61	Professional		$1,858.95	$2,187.00	$2,252.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,293.04 / $3,738.60 / $5,245.77	Facility		$3,293.04	$3,738.60	$5,245.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $684.53 / $684.53 / $684.53	Professional		$684.53	$684.53	$684.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,358.43 / $5,944.20 / $12,036.83	Professional		$4,358.43	$5,944.20	$12,036.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,293.04 / $3,677.69 / $5,245.77	Facility		$3,293.04	$3,677.69	$5,245.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,858.95 / $2,187.00 / $2,252.61	Professional		$1,858.95	$2,187.00	$2,252.61
United Facility/Professional Professional Modifier Low / Median / High Price $2,377.67 / $4,557.22 / $8,321.87	Professional		$2,377.67	$4,557.22	$8,321.87