Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.10 / $7,340.00 / $13,413.92	Facility		$1,014.10	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.25 / $382.86 / $1,853.97	Professional		$267.25	$382.86	$1,853.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.70 / $506.52 / $1,119.45	Professional		$326.70	$506.52	$1,119.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.33 / $1,388.34 / $2,595.56	Facility		$261.33	$1,388.34	$2,595.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $684.78 / $1,146.59 / $2,280.60	Professional		$684.78	$1,146.59	$2,280.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.40 / $1,466.10 / $2,162.69	Professional		$850.40	$1,466.10	$2,162.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.50 / $1,388.34 / $2,595.56	Facility		$318.50	$1,388.34	$2,595.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $425.41 / $1,164.00 / $2,108.00	Professional		$425.41	$1,164.00	$2,108.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.97 / $941.67 / $2,531.48	Professional		$798.97	$941.67	$2,531.48