Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,958.40 / $2,958.40 / $2,958.40	Professional		$2,958.40	$2,958.40	$2,958.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Facility		$1,590.54	$1,590.54	$1,590.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,250.76	Professional		$1,590.54	$1,590.54	$2,250.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,653.82 / $2,958.40 / $4,141.76	Facility		$1,653.82	$2,958.40	$4,141.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,385.81	Professional		$1,590.54	$1,590.54	$2,385.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $4,800.00 / $6,600.00	Facility		$3,495.87	$4,800.00	$6,600.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,550.00 / $3,300.00 / $3,600.00	Professional		$2,550.00	$3,300.00	$3,600.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $2,958.40 / $6,000.00	Facility		$1,590.54	$2,958.40	$6,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $2,319.88 / $3,600.00	Professional		$1,590.54	$2,319.88	$3,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,385.81 / $2,385.81 / $4,771.62	Professional		$2,385.81	$2,385.81	$4,771.62