Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.04 / $1,235.69 / $1,235.69	Professional		$239.04	$1,235.69	$1,235.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.38 / $828.78 / $1,116.67	Professional		$623.38	$828.78	$1,116.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $1,235.69 / $1,729.97	Facility		$243.42	$1,235.69	$1,729.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $638.03 / $765.63 / $1,554.33	Professional		$638.03	$765.63	$1,554.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.00 / $1,274.52 / $1,574.00	Professional		$920.00	$1,274.52	$1,574.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $1,235.69 / $1,729.97	Facility		$243.42	$1,235.69	$1,729.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.96 / $1,259.70 / $1,643.40	Professional		$378.96	$1,259.70	$1,643.40
United Facility/Professional Professional Modifier Low / Median / High Price $663.02 / $1,160.29 / $1,458.64	Professional		$663.02	$1,160.29	$1,458.64