Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.35 / $10,900.00 / $14,552.94	Facility		$787.35	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,385.59 / $1,512.28 / $1,512.28	Professional		$1,385.59	$1,512.28	$1,512.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.55 / $929.55 / $929.55	Professional		$929.55	$929.55	$929.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $329.72 / $1,512.28 / $2,162.56	Facility		$329.72	$1,512.28	$2,162.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $642.08 / $1,667.40 / $2,164.11	Professional		$642.08	$1,667.40	$2,164.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $992.50 / $1,151.30 / $1,779.54	Professional		$992.50	$1,151.30	$1,779.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $329.72 / $1,512.28 / $2,162.56	Facility		$329.72	$1,512.28	$2,162.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $265.33 / $1,186.50 / $1,899.24	Professional		$265.33	$1,186.50	$1,899.24
United Facility/Professional Professional Modifier Low / Median / High Price $743.64 / $1,115.46 / $1,724.54	Professional		$743.64	$1,115.46	$1,724.54