Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.33 / $6,541.00 / $13,413.92	Facility		$1,015.33	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.74 / $1,565.92 / $1,892.25	Professional		$646.74	$1,565.92	$1,892.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.60 / $464.60 / $1,081.92	Professional		$464.60	$464.60	$1,081.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.87 / $905.44 / $2,316.92	Facility		$164.87	$905.44	$2,316.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $384.27 / $920.59 / $2,368.80	Professional		$384.27	$920.59	$2,368.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.60 / $869.70 / $1,931.70	Professional		$534.60	$869.70	$1,931.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.87 / $905.44 / $2,316.92	Facility		$164.87	$905.44	$2,316.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.04 / $776.00 / $1,931.70	Professional		$293.04	$776.00	$1,931.70
United Facility/Professional Professional Modifier Low / Median / High Price $825.58 / $865.54 / $1,898.83	Professional		$825.58	$865.54	$1,898.83