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 / $14,552.94	Facility		$3,741.00	$10,480.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $2,561.21 / $10,190.62	Professional		$212.75	$2,561.21	$10,190.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $782.62 / $782.62 / $6,993.21	Professional		$782.62	$782.62	$6,993.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $276.37 / $1,811.08 / $14,266.87	Facility		$276.37	$1,811.08	$14,266.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $626.88 / $1,809.28 / $11,970.00	Professional		$626.88	$1,809.28	$11,970.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $866.70 / $1,575.00 / $13,092.82	Professional		$866.70	$1,575.00	$13,092.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.37 / $1,811.08 / $14,266.87	Facility		$276.37	$1,811.08	$14,266.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $802.50 / $1,936.38 / $16,616.52	Professional		$802.50	$1,936.38	$16,616.52
United Facility/Professional Professional Modifier Low / Median / High Price $5,594.56 / $8,391.84 / $13,692.13	Professional		$5,594.56	$8,391.84	$13,692.13