Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.35 / $9,577.00 / $14,552.94	Facility		$599.35	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.16 / $1,016.51 / $2,635.33	Professional		$197.16	$1,016.51	$2,635.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.02 / $889.15 / $2,532.82	Professional		$516.02	$889.15	$2,532.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.82 / $1,016.51 / $3,689.46	Facility		$217.82	$1,016.51	$3,689.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $511.88 / $1,247.01 / $2,991.60	Professional		$511.88	$1,247.01	$2,991.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $791.25 / $1,268.40 / $2,966.67	Professional		$791.25	$1,268.40	$2,966.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.97 / $1,118.16 / $3,689.46	Facility		$263.97	$1,118.16	$3,689.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $550.99 / $1,208.00 / $2,840.20	Professional		$550.99	$1,208.00	$2,840.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,169.33 / $2,046.35 / $2,572.55	Professional		$1,169.33	$2,046.35	$2,572.55