Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,813.00 / $14,552.94	Facility		$2,236.00	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.48 / $1,353.43 / $1,353.43	Professional		$255.48	$1,353.43	$1,353.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.42 / $934.67 / $1,157.05	Professional		$688.42	$934.67	$1,157.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.98 / $1,353.43 / $1,894.80	Facility		$256.98	$1,353.43	$1,894.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $663.10 / $795.72 / $1,615.40	Professional		$663.10	$795.72	$1,615.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,005.00 / $1,381.16 / $1,630.00	Professional		$1,005.00	$1,381.16	$1,630.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.98 / $1,353.43 / $1,894.80	Facility		$256.98	$1,353.43	$1,894.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $411.95 / $1,343.10 / $1,777.60	Professional		$411.95	$1,343.10	$1,777.60
United Facility/Professional Professional Modifier Low / Median / High Price $699.38 / $1,281.57 / $1,645.03	Professional		$699.38	$1,281.57	$1,645.03