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 $1,024.44 / $1,523.87 / $5,001.80	Professional		$1,024.44	$1,523.87	$5,001.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.32 / $1,110.38 / $3,638.91	Professional		$330.32	$1,110.38	$3,638.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.62 / $1,021.93 / $2,083.91	Facility		$244.62	$1,021.93	$2,083.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $508.85 / $1,603.94 / $5,887.42	Professional		$508.85	$1,603.94	$5,887.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.75 / $1,460.00 / $5,633.55	Professional		$733.75	$1,460.00	$5,633.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.62 / $1,021.93 / $6,852.47	Facility		$244.62	$1,021.93	$6,852.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $494.91 / $1,305.83 / $4,905.45	Professional		$494.91	$1,305.83	$4,905.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,774.00 / $4,774.00 / $4,774.00	Facility		$4,774.00	$4,774.00	$4,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,487.00 / $2,505.16 / $3,757.74	Professional		$1,487.00	$2,505.16	$3,757.74