Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,606.93 / $12,302.69	Facility		$5,888.44	$6,606.93	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $977.24 / $2,089.30	Professional		$89.13	$977.24	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $309.03 / $2,089.30	Professional		$97.72	$309.03	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $977.24 / $4,786.30	Facility		$109.65	$977.24	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $724.44 / $3,388.44	Professional		$199.53	$724.44	$3,388.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $660.69 / $5,888.44	Professional		$346.74	$660.69	$5,888.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $870.96 / $2,754.23	Facility		$100.00	$870.96	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $288.40 / $2,630.27	Professional		$83.18	$288.40	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $616.60 / $3,162.28	Professional		$223.87	$616.60	$3,162.28