Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.63 / $1,294.63 / $1,294.63	Professional		$1,294.63	$1,294.63	$1,294.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $897.36 / $897.36 / $897.36	Professional		$897.36	$897.36	$897.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $202.33 / $1,294.63 / $1,851.32	Facility		$202.33	$1,294.63	$1,851.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.33 / $262.33 / $374.78	Professional		$262.33	$262.33	$374.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,299.20 / $1,735.80	Professional		$1,120.00	$1,299.20	$1,735.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.33 / $1,294.63 / $1,851.32	Facility		$202.33	$1,294.63	$1,851.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $242.80 / $1,188.00 / $1,759.47	Professional		$242.80	$1,188.00	$1,759.47
United Facility/Professional Professional Modifier Low / Median / High Price $380.21 / $390.42 / $895.71	Professional		$380.21	$390.42	$895.71