Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,923.34 / $8,259.44 / $11,709.00	Facility		$2,923.34	$8,259.44	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.45 / $468.97 / $1,551.28	Professional		$280.45	$468.97	$1,551.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.30 / $436.62 / $955.13	Professional		$283.30	$436.62	$955.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $287.63 / $1,551.28 / $2,171.79	Facility		$287.63	$1,551.28	$2,171.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $718.90 / $1,075.20 / $1,987.65	Professional		$718.90	$1,075.20	$1,987.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $759.60 / $1,321.60 / $2,145.00	Professional		$759.60	$1,321.60	$2,145.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $287.63 / $1,551.28 / $2,171.79	Facility		$287.63	$1,551.28	$2,171.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $352.98 / $1,037.50 / $1,850.90	Professional		$352.98	$1,037.50	$1,850.90
United Facility/Professional Professional Modifier Low / Median / High Price $680.42 / $764.10 / $2,107.65	Professional		$680.42	$764.10	$2,107.65