Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,884.03	Professional		$1,230.27	$1,513.56	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,318.26	Professional		$933.25	$933.25	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,089.30 / $3,162.28	Facility		$660.69	$2,089.30	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $7,585.78	Professional		$2,398.83	$3,162.28	$7,585.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $3,311.31	Facility		$2,187.76	$3,162.28	$3,311.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,162.28 / $3,235.94	Professional		$2,570.40	$3,162.28	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $2,818.38	Facility		$660.69	$660.69	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,258.93 / $2,344.23	Professional		$60.26	$1,258.93	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,513.56	Facility		$1,348.96	$1,348.96	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $4,897.79	Professional		$1,513.56	$1,621.81	$4,897.79