Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,162.28 / $4,786.30	Professional		$2,884.03	$3,162.28	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,388.44	Professional		$2,398.83	$2,398.83	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $5,370.32	Facility		$3,311.31	$4,786.30	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,370.32 / $16,218.10	Professional		$5,128.61	$5,370.32	$16,218.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $5,623.41	Facility		$4,570.88	$5,370.32	$5,623.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,370.32 / $5,495.41	Professional		$4,365.16	$5,370.32	$5,495.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $5,623.41	Facility		$3,311.31	$3,311.31	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $3,311.31 / $5,011.87	Professional		$60.26	$3,311.31	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,388.44	Facility		$2,951.21	$2,951.21	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,754.23 / $10,964.78	Professional		$2,630.27	$2,754.23	$10,964.78