Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,691.53 / $4,365.16	Professional		$2,454.71	$2,691.53	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,715.35	Professional		$3,090.30	$3,090.30	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,365.16 / $4,897.79	Facility		$1,318.26	$4,365.16	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,897.79 / $13,803.84	Professional		$4,365.16	$4,897.79	$13,803.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,897.79 / $5,128.61	Facility		$3,890.45	$4,897.79	$5,128.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,897.79 / $5,011.87	Professional		$3,981.07	$4,897.79	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $4,786.30	Facility		$1,318.26	$1,318.26	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $3,311.31 / $4,265.80	Professional		$60.26	$3,311.31	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,511.89 / $3,019.95	Facility		$1,071.52	$2,511.89	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $9,772.37	Professional		$2,398.83	$2,511.89	$9,772.37