Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.26 / $6,782.00 / $14,985.89	Facility		$1,578.26	$6,782.00	$14,985.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.92 / $762.44 / $3,031.40	Professional		$113.92	$762.44	$3,031.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.19 / $515.19 / $2,069.60	Professional		$515.19	$515.19	$2,069.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.42 / $1,172.28 / $4,243.96	Facility		$183.42	$1,172.28	$4,243.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $417.27 / $1,198.54 / $3,560.59	Professional		$417.27	$1,198.54	$3,560.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.75 / $949.98 / $3,782.58	Professional		$573.75	$949.98	$3,782.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.42 / $1,172.28 / $4,243.96	Facility		$183.42	$1,172.28	$4,243.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $531.25 / $970.43 / $4,632.75	Professional		$531.25	$970.43	$4,632.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,655.68 / $2,217.00 / $4,117.74	Professional		$1,655.68	$2,217.00	$4,117.74