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 $250.12 / $1,172.64 / $4,295.92	Professional		$250.12	$1,172.64	$4,295.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.66 / $874.83 / $3,034.38	Professional		$411.66	$874.83	$3,034.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.95 / $883.76 / $2,024.89	Facility		$309.95	$883.76	$2,024.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $639.77 / $1,923.80 / $5,072.49	Professional		$639.77	$1,923.80	$5,072.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $922.50 / $2,036.62 / $4,664.00	Professional		$922.50	$2,036.62	$4,664.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.95 / $883.76 / $5,885.41	Facility		$309.95	$883.76	$5,885.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $618.08 / $1,377.48 / $4,133.25	Professional		$618.08	$1,377.48	$4,133.25
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 $1,790.25 / $2,087.84 / $4,194.39	Professional		$1,790.25	$2,087.84	$4,194.39