Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.32 / $6,541.00 / $13,413.92	Facility		$1,132.32	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.53 / $445.09 / $1,910.49	Professional		$175.53	$445.09	$1,910.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.39 / $660.79 / $1,240.79	Professional		$345.39	$660.79	$1,240.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $948.24 / $1,355.98 / $2,674.69	Facility		$948.24	$1,355.98	$2,674.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $456.90 / $548.28 / $1,198.44	Professional		$456.90	$548.28	$1,198.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.60 / $864.00 / $1,726.53	Professional		$465.60	$864.00	$1,726.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $948.24 / $1,355.98 / $2,674.69	Facility		$948.24	$1,355.98	$2,674.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.40 / $832.50 / $1,695.00	Professional		$374.40	$832.50	$1,695.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.40 / $992.64 / $1,497.50	Professional		$429.40	$992.64	$1,497.50