Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $3,715.35	Professional		$2,454.71	$2,951.21	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,388.44	Professional		$2,290.87	$2,290.87	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,467.37 / $3,801.89	Facility		$1,318.26	$3,467.37	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,073.80 / $12,882.50	Professional		$3,801.89	$4,073.80	$12,882.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,801.89 / $3,981.07	Facility		$3,630.78	$3,801.89	$3,981.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $3,981.07	Professional		$3,162.28	$3,801.89	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $4,168.69	Facility		$1,318.26	$1,318.26	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $3,090.30 / $3,981.07	Professional		$60.26	$3,090.30	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,090.30	Facility		$2,754.23	$2,754.23	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,949.84 / $9,772.37	Professional		$1,905.46	$1,949.84	$9,772.37