Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.39 / $193.63 / $1,002.57	Professional		$169.39	$193.63	$1,002.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $267.32 / $608.44	Professional		$163.69	$267.32	$608.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.52 / $1,002.57 / $1,433.68	Facility		$204.52	$1,002.57	$1,433.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $403.53 / $519.74 / $1,124.14	Professional		$403.53	$519.74	$1,124.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.67 / $623.75 / $963.30	Professional		$306.67	$623.75	$963.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.21 / $705.77 / $1,403.60	Facility		$161.21	$705.77	$1,403.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $495.00 / $963.30	Professional		$200.71	$495.00	$963.30
United Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $486.74 / $730.11	Professional		$142.34	$486.74	$730.11