Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,473.04 / $6,782.00 / $13,413.92	Facility		$4,473.04	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.91 / $886.91 / $886.91	Professional		$886.91	$886.91	$886.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $924.88 / $924.88 / $924.88	Professional		$924.88	$924.88	$924.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.48 / $886.91 / $1,241.67	Facility		$88.48	$886.91	$1,241.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.75 / $829.50 / $1,795.20	Professional		$683.75	$829.50	$1,795.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.48 / $886.91 / $1,241.67	Facility		$88.48	$886.91	$1,241.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $924.88 / $1,819.68	Professional		$106.18	$924.88	$1,819.68
United Facility/Professional Professional Modifier Low / Median / High Price $396.16 / $396.16 / $1,601.86	Professional		$396.16	$396.16	$1,601.86