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 $361.28 / $1,884.00 / $1,884.00	Professional		$361.28	$1,884.00	$1,884.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.29 / $1,278.16 / $1,666.76	Professional		$950.29	$1,278.16	$1,666.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $361.28 / $1,884.00 / $2,637.60	Facility		$361.28	$1,884.00	$2,637.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.40 / $371.40 / $530.58	Professional		$371.40	$371.40	$530.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,396.25 / $1,940.16 / $2,348.00	Professional		$1,396.25	$1,940.16	$2,348.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $403.63 / $1,884.00 / $2,637.60	Facility		$403.63	$1,884.00	$2,637.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $950.29 / $1,940.16 / $2,477.19	Professional		$950.29	$1,940.16	$2,477.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,020.90 / $1,789.45 / $2,249.59	Professional		$1,020.90	$1,789.45	$2,249.59