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 $212.52 / $952.88 / $1,183.69	Professional		$212.52	$952.88	$1,183.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.78 / $642.78 / $642.78	Professional		$642.78	$642.78	$642.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $240.15 / $952.88 / $1,362.62	Facility		$240.15	$952.88	$1,362.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $503.00 / $1,306.20 / $1,598.55	Professional		$503.00	$1,306.20	$1,598.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.50 / $901.90 / $1,249.59	Professional		$777.50	$901.90	$1,249.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.15 / $952.88 / $1,362.62	Facility		$240.15	$952.88	$1,362.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.08 / $870.00 / $1,286.71	Professional		$274.08	$870.00	$1,286.71
United Facility/Professional Professional Modifier Low / Median / High Price $500.78 / $514.22 / $1,158.51	Professional		$500.78	$514.22	$1,158.51