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 $253.21 / $1,212.24 / $5,433.15	Professional		$253.21	$1,212.24	$5,433.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.13 / $1,208.14 / $3,886.45	Professional		$446.13	$1,208.14	$3,886.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $334.77 / $1,129.56 / $2,231.84	Facility		$334.77	$1,129.56	$2,231.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $695.25 / $2,190.23 / $6,426.31	Professional		$695.25	$2,190.23	$6,426.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,002.50 / $1,987.50 / $6,058.02	Professional		$1,002.50	$1,987.50	$6,058.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $334.77 / $1,129.56 / $7,443.42	Facility		$334.77	$1,129.56	$7,443.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $674.26 / $1,519.96 / $5,275.05	Professional		$674.26	$1,519.96	$5,275.05
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 $1,779.11 / $2,742.26 / $4,113.39	Professional		$1,779.11	$2,742.26	$4,113.39