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 $202.76 / $1,247.30 / $12,970.30	Professional		$202.76	$1,247.30	$12,970.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.42 / $917.14 / $12,985.26	Professional		$552.42	$917.14	$12,985.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.82 / $1,550.99 / $18,158.41	Facility		$269.82	$1,550.99	$18,158.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $576.50 / $3,762.24 / $14,783.40	Professional		$576.50	$3,762.24	$14,783.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $843.70 / $1,427.80 / $23,916.75	Professional		$843.70	$1,427.80	$23,916.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.82 / $1,550.99 / $18,158.41	Facility		$269.82	$1,550.99	$18,158.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $752.32 / $2,827.70 / $23,976.10	Professional		$752.32	$2,827.70	$23,976.10
United Facility/Professional Professional Modifier Low / Median / High Price $7,670.88 / $14,748.92 / $18,931.70	Professional		$7,670.88	$14,748.92	$18,931.70