Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $11,709.00 / $20,143.00	Facility		$2,236.00	$11,709.00	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.90 / $3,124.19 / $10,808.51	Professional		$165.90	$3,124.19	$10,808.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.07 / $572.07 / $8,543.86	Professional		$572.07	$572.07	$8,543.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $209.60 / $1,161.16 / $15,131.91	Facility		$209.60	$1,161.16	$15,131.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $493.92 / $1,372.28 / $14,979.30	Professional		$493.92	$1,372.28	$14,979.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.10 / $1,086.01 / $16,780.00	Professional		$683.10	$1,086.01	$16,780.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.60 / $1,161.16 / $15,131.91	Facility		$209.60	$1,161.16	$15,131.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.44 / $2,465.15 / $16,780.00	Professional		$374.44	$2,465.15	$16,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,661.31 / $7,258.42 / $16,641.50	Professional		$6,661.31	$7,258.42	$16,641.50