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 $301.69 / $1,991.23 / $8,975.87	Professional		$301.69	$1,991.23	$8,975.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.40 / $1,985.90 / $6,466.52	Professional		$562.40	$1,985.90	$6,466.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $410.14 / $1,940.63 / $3,606.45	Facility		$410.14	$1,940.63	$3,606.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $864.27 / $2,659.15 / $10,755.64	Professional		$864.27	$2,659.15	$10,755.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.25 / $2,404.76 / $10,043.34	Professional		$1,246.25	$2,404.76	$10,043.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.14 / $1,940.63 / $12,296.94	Facility		$410.14	$1,940.63	$12,296.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $827.39 / $2,309.04 / $8,837.40	Professional		$827.39	$2,309.04	$8,837.40
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 $2,444.00 / $4,486.28 / $6,729.42	Professional		$2,444.00	$4,486.28	$6,729.42