Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.90 / $933.90 / $1,232.06	Professional		$933.90	$933.90	$1,232.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.39 / $654.39 / $654.39	Professional		$654.39	$654.39	$654.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $241.47 / $933.90 / $1,335.48	Facility		$241.47	$933.90	$1,335.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $473.88 / $1,230.59 / $1,579.44	Professional		$473.88	$1,230.59	$1,579.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.50 / $849.70 / $1,225.40	Professional		$732.50	$849.70	$1,225.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.47 / $933.90 / $1,335.48	Facility		$241.47	$933.90	$1,335.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $265.05 / $832.50 / $1,244.33	Professional		$265.05	$832.50	$1,244.33
United Facility/Professional Professional Modifier Low / Median / High Price $509.83 / $523.52 / $1,205.83	Professional		$509.83	$523.52	$1,205.83