Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.77 / $1,103.00 / $4,061.15	Professional		$150.77	$1,103.00	$4,061.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.23 / $496.23 / $2,948.39	Professional		$496.23	$496.23	$2,948.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.24 / $997.40 / $5,685.61	Facility		$184.24	$997.40	$5,685.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $435.72 / $1,207.70 / $5,642.70	Professional		$435.72	$1,207.70	$5,642.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.45 / $952.21 / $5,760.00	Professional		$603.45	$952.21	$5,760.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.24 / $997.40 / $5,685.61	Facility		$184.24	$997.40	$5,685.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.78 / $1,009.12 / $5,832.00	Professional		$330.78	$1,009.12	$5,832.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,297.05 / $2,358.71 / $5,458.31	Professional		$2,297.05	$2,358.71	$5,458.31