Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,023.29	Facility		$1,000.00	$1,000.00	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $1,202.26	Professional		$34.67	$44.67	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $1,148.15	Professional		$398.11	$501.19	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $1,000.00 / $4,897.79	Facility		$50.12	$1,000.00	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $707.95 / $1,348.96	Professional		$41.69	$707.95	$1,348.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $1,148.15	Professional		$891.25	$954.99	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $3,311.31 / $5,128.61	Facility		$50.12	$3,311.31	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $524.81 / $912.01	Professional		$60.26	$524.81	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $120.23	Professional		$51.29	$72.44	$120.23