Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $997.42 / $997.42 / $1,379.68	Professional		$997.42	$997.42	$1,379.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.46 / $733.46 / $733.46	Professional		$733.46	$733.46	$733.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.13 / $997.42 / $1,426.31	Facility		$257.13	$997.42	$1,426.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $473.88 / $1,230.59 / $1,691.89	Professional		$473.88	$1,230.59	$1,691.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.50 / $849.70 / $1,311.20	Professional		$732.50	$849.70	$1,311.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.13 / $997.42 / $1,426.31	Facility		$257.13	$997.42	$1,426.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.68 / $892.50 / $1,322.39	Professional		$281.68	$892.50	$1,322.39
United Facility/Professional Professional Modifier Low / Median / High Price $501.77 / $586.78 / $1,350.33	Professional		$501.77	$586.78	$1,350.33