Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.92 / $7,340.00 / $13,413.92	Facility		$1,089.92	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.29 / $1,280.25 / $1,848.56	Professional		$236.29	$1,280.25	$1,848.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.91 / $1,068.06 / $1,672.37	Professional		$701.91	$1,068.06	$1,672.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $327.67 / $1,280.25 / $2,587.98	Facility		$327.67	$1,280.25	$2,587.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $629.95 / $1,125.66 / $2,262.00	Professional		$629.95	$1,125.66	$2,262.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $973.75 / $1,578.15 / $2,538.00	Professional		$973.75	$1,578.15	$2,538.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $357.40 / $1,408.28 / $2,587.98	Facility		$357.40	$1,408.28	$2,587.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $570.50 / $1,461.25 / $2,538.00	Professional		$570.50	$1,461.25	$2,538.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,133.38 / $1,983.42 / $2,493.44	Professional		$1,133.38	$1,983.42	$2,493.44