Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.80 / $769.17 / $1,266.89	Professional		$708.80	$769.17	$1,266.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.81 / $469.81 / $469.81	Professional		$469.81	$469.81	$469.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.55 / $769.17 / $1,099.91	Facility		$167.55	$769.17	$1,099.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.55 / $861.00 / $1,099.15	Professional		$331.55	$861.00	$1,099.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.50 / $594.50 / $866.25	Professional		$512.50	$594.50	$866.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.55 / $769.17 / $1,099.91	Facility		$167.55	$769.17	$1,099.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $607.50 / $918.57	Professional		$133.66	$607.50	$918.57
United Facility/Professional Professional Modifier Low / Median / High Price $374.82 / $563.79 / $1,653.00	Professional		$374.82	$563.79	$1,653.00