Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,677.35 / $14,125.38	Facility		$1,047.13	$4,677.35	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $407.38 / $831.76	Professional		$134.90	$407.38	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,071.52	Professional		$467.74	$467.74	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $512.86 / $2,290.87	Facility		$154.88	$512.86	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,023.29 / $2,344.23	Professional		$295.12	$1,023.29	$2,344.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $1,949.84	Professional		$537.03	$870.96	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $776.25 / $2,290.87	Facility		$263.03	$776.25	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $186.21 / $1,071.52	Professional		$60.26	$186.21	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $831.76 / $1,288.25	Professional		$338.84	$831.76	$1,288.25