Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,591.19 / $2,591.19 / $2,591.19	Professional		$2,591.19	$2,591.19	$2,591.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Facility		$1,393.12	$1,393.12	$1,393.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,971.40	Professional		$1,393.12	$1,393.12	$1,971.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,713.18 / $2,591.19 / $3,627.68	Facility		$1,713.18	$2,591.19	$3,627.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,811.06	Professional		$1,393.12	$1,393.12	$1,811.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,276.00 / $3,744.00 / $5,148.00	Facility		$3,276.00	$3,744.00	$5,148.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,989.00 / $2,574.00 / $2,808.00	Professional		$1,989.00	$2,574.00	$2,808.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $2,591.19 / $4,680.00	Facility		$1,393.12	$2,591.19	$4,680.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $2,480.40 / $2,808.00	Professional		$1,393.12	$2,480.40	$2,808.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.67 / $2,089.67 / $4,179.35	Professional		$2,089.67	$2,089.67	$4,179.35