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 $227.59 / $1,163.48 / $6,296.05	Professional		$227.59	$1,163.48	$6,296.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.44 / $1,387.91 / $4,575.85	Professional		$380.44	$1,387.91	$4,575.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $292.20 / $1,286.66 / $2,605.67	Facility		$292.20	$1,286.66	$2,605.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $600.75 / $1,911.26 / $7,383.64	Professional		$600.75	$1,911.26	$7,383.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $866.25 / $1,732.50 / $7,107.02	Professional		$866.25	$1,732.50	$7,107.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $292.20 / $1,286.66 / $8,625.59	Facility		$292.20	$1,286.66	$8,625.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $582.04 / $1,637.70 / $6,172.65	Professional		$582.04	$1,637.70	$6,172.65
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 $1,697.00 / $3,184.28 / $4,776.42	Professional		$1,697.00	$3,184.28	$4,776.42