Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,175.36 / $13,413.92	Facility		$3,741.00	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.53 / $3,883.96 / $7,239.26	Professional		$200.53	$3,883.96	$7,239.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.60 / $608.60 / $5,563.35	Professional		$608.60	$608.60	$5,563.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.75 / $1,236.31 / $10,134.95	Facility		$223.75	$1,236.31	$10,134.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.97 / $1,461.59 / $10,046.40	Professional		$524.97	$1,461.59	$10,046.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $722.25 / $1,152.91 / $11,560.00	Professional		$722.25	$1,152.91	$11,560.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.75 / $1,236.31 / $10,134.95	Facility		$223.75	$1,236.31	$10,134.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $395.90 / $1,639.72 / $11,838.00	Professional		$395.90	$1,639.72	$11,838.00
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $523.58 / $523.58 / $523.58	Professional	AS	$523.58	$523.58	$523.58
United Facility/Professional Professional Modifier Low / Median / High Price $4,334.32 / $4,720.68 / $10,857.56	Professional		$4,334.32	$4,720.68	$10,857.56