Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.72 / $6,541.00 / $13,413.92	Facility		$1,121.72	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.29 / $396.26 / $2,050.71	Professional		$297.29	$396.26	$2,050.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.87 / $583.33 / $1,231.70	Professional		$379.87	$583.33	$1,231.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $293.30 / $1,580.44 / $2,870.99	Facility		$293.30	$1,580.44	$2,870.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $793.50 / $1,299.57 / $2,543.10	Professional		$793.50	$1,299.57	$2,543.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,020.80 / $1,634.85 / $2,630.37	Professional		$1,020.80	$1,634.85	$2,630.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.07 / $1,580.44 / $2,870.99	Facility		$369.07	$1,580.44	$2,870.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.58 / $1,338.00 / $2,462.00	Professional		$478.58	$1,338.00	$2,462.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.38 / $1,037.02 / $2,860.45	Professional		$522.38	$1,037.02	$2,860.45