Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,276.41 / $1,276.41 / $1,276.41	Professional		$1,276.41	$1,276.41	$1,276.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $843.35	Facility		$843.35	$843.35	$843.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $843.35 / $868.65	Professional		$716.85	$843.35	$868.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $456.43 / $456.43 / $456.43	Facility		$456.43	$456.43	$456.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,384.75 / $1,438.49 / $2,186.44	Professional		$1,384.75	$1,438.49	$2,186.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,423.47 / $1,423.47 / $1,423.47	Facility		$1,423.47	$1,423.47	$1,423.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,153.33 / $1,423.47 / $2,935.45	Professional		$1,153.33	$1,423.47	$2,935.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.43 / $456.43 / $843.35	Facility		$456.43	$456.43	$843.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $843.35 / $1,157.96 / $1,774.45	Professional		$843.35	$1,157.96	$1,774.45
United Facility/Professional Professional Modifier Low / Median / High Price $704.51 / $727.20 / $1,393.80	Professional		$704.51	$727.20	$1,393.80