Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.70 / $1,711.24 / $1,711.24	Professional		$308.70	$1,711.24	$1,711.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.91 / $1,135.42 / $1,435.79	Professional		$849.91	$1,135.42	$1,435.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $319.99 / $1,711.24 / $2,395.73	Facility		$319.99	$1,711.24	$2,395.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $824.83 / $989.79 / $2,009.40	Professional		$824.83	$989.79	$2,009.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,186.25 / $1,630.56 / $2,000.00	Professional		$1,186.25	$1,630.56	$2,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $319.99 / $1,711.24 / $2,395.73	Facility		$319.99	$1,711.24	$2,395.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $523.04 / $1,611.60 / $2,065.80	Professional		$523.04	$1,611.60	$2,065.80
United Facility/Professional Professional Modifier Low / Median / High Price $901.20 / $1,589.60 / $1,998.35	Professional		$901.20	$1,589.60	$1,998.35