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 $1,037.53 / $1,037.97 / $1,280.80	Professional		$1,037.53	$1,037.97	$1,280.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.55 / $678.55 / $678.55	Professional		$678.55	$678.55	$678.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $235.24 / $1,037.97 / $1,484.30	Facility		$235.24	$1,037.97	$1,484.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $450.43 / $1,169.70 / $1,549.80	Professional		$450.43	$1,169.70	$1,549.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $696.25 / $807.65 / $1,267.20	Professional		$696.25	$807.65	$1,267.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.24 / $1,037.97 / $1,484.30	Facility		$235.24	$1,037.97	$1,484.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $273.13 / $864.00 / $1,282.25	Professional		$273.13	$864.00	$1,282.25
United Facility/Professional Professional Modifier Low / Median / High Price $489.75 / $814.26 / $1,357.10	Professional		$489.75	$814.26	$1,357.10