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 $171.03 / $4,179.58 / $7,166.84	Professional		$171.03	$4,179.58	$7,166.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.66 / $485.66 / $5,428.31	Professional		$485.66	$485.66	$5,428.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.43 / $987.93 / $9,866.70	Facility		$178.43	$987.93	$9,866.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $419.22 / $1,169.48 / $9,790.20	Professional		$419.22	$1,169.48	$9,790.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.50 / $942.00 / $11,334.00	Professional		$580.50	$942.00	$11,334.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.43 / $987.93 / $9,866.70	Facility		$178.43	$987.93	$9,866.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.20 / $1,603.50 / $11,624.00	Professional		$318.20	$1,603.50	$11,624.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,229.12 / $4,614.84 / $10,614.13	Professional		$4,229.12	$4,614.84	$10,614.13