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 $223.84 / $1,102.33 / $5,258.32	Professional		$223.84	$1,102.33	$5,258.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.89 / $739.79 / $3,804.36	Professional		$338.89	$739.79	$3,804.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $266.14 / $1,088.91 / $2,143.78	Facility		$266.14	$1,088.91	$2,143.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $544.41 / $1,738.23 / $6,203.51	Professional		$544.41	$1,738.23	$6,203.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $785.00 / $1,545.00 / $5,728.00	Professional		$785.00	$1,545.00	$5,728.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.14 / $1,088.91 / $7,203.90	Facility		$266.14	$1,088.91	$7,203.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.09 / $1,375.94 / $5,131.50	Professional		$520.09	$1,375.94	$5,131.50
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,630.00 / $2,576.16 / $3,864.24	Professional		$1,630.00	$2,576.16	$3,864.24