Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $4,897.79	Professional		$2,454.71	$3,235.94	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,630.78	Professional		$2,570.40	$2,570.40	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,570.88 / $5,370.32	Facility		$1,412.54	$4,570.88	$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 $4,677.35 / $5,370.32 / $5,623.41	Facility		$4,677.35	$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 $1,412.54 / $1,412.54 / $5,495.41	Facility		$1,412.54	$1,412.54	$5,495.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $3,548.13 / $5,128.61	Professional		$60.26	$3,548.13	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,311.31	Facility		$2,884.03	$2,884.03	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,754.23 / $10,471.29	Professional		$2,691.53	$2,754.23	$10,471.29