Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,541.00 / $13,413.92	Facility		$2,464.00	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $2,312.83 / $8,530.50	Professional		$156.88	$2,312.83	$8,530.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.48 / $524.48 / $4,299.05	Professional		$524.48	$524.48	$4,299.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $185.31 / $1,205.72 / $11,942.70	Facility		$185.31	$1,205.72	$11,942.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $428.91 / $1,211.21 / $10,195.50	Professional		$428.91	$1,211.21	$10,195.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.29 / $6,068.75 / $9,301.25	Professional		$591.29	$6,068.75	$9,301.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.31 / $1,205.72 / $11,942.70	Facility		$185.31	$1,205.72	$11,942.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $547.50 / $1,657.04 / $12,993.75	Professional		$547.50	$1,657.04	$12,993.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,239.00 / $3,439.24 / $10,720.81	Professional		$1,239.00	$3,439.24	$10,720.81