Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.79 / $6,541.00 / $13,413.92	Facility		$1,174.79	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $440.73 / $2,147.76	Professional		$285.70	$440.73	$2,147.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.39 / $595.17 / $1,303.48	Professional		$341.39	$595.17	$1,303.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $277.18 / $1,494.95 / $3,006.86	Facility		$277.18	$1,494.95	$3,006.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $749.45 / $1,342.45 / $2,681.70	Professional		$749.45	$1,342.45	$2,681.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $894.60 / $1,596.25 / $2,372.00	Professional		$894.60	$1,596.25	$2,372.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $348.58 / $1,494.95 / $3,006.86	Facility		$348.58	$1,494.95	$3,006.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.07 / $1,246.50 / $2,336.00	Professional		$456.07	$1,246.50	$2,336.00
United Facility/Professional Professional Modifier Low / Median / High Price $932.28 / $1,172.99 / $2,876.34	Professional		$932.28	$1,172.99	$2,876.34