Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.99 / $641.46 / $3,219.00	Professional		$596.99	$641.46	$3,219.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.05 / $948.02 / $2,010.65	Professional		$587.05	$948.02	$2,010.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $603.05 / $3,219.00 / $4,506.60	Facility		$603.05	$3,219.00	$4,506.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,483.90 / $2,206.05 / $4,098.93	Professional		$1,483.90	$2,206.05	$4,098.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,623.60 / $2,808.00 / $4,527.85	Professional		$1,623.60	$2,808.00	$4,527.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $603.05 / $3,219.00 / $4,506.60	Facility		$603.05	$3,219.00	$4,506.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $740.58 / $2,197.19 / $3,963.71	Professional		$740.58	$2,197.19	$3,963.71
United Facility/Professional Professional Modifier Low / Median / High Price $810.76 / $1,630.76 / $4,436.85	Professional		$810.76	$1,630.76	$4,436.85