Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,577.00 / $14,552.94	Facility		$2,236.00	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.93 / $202.94 / $1,034.50	Professional		$162.93	$202.94	$1,034.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.76 / $298.29 / $624.63	Professional		$192.76	$298.29	$624.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.20 / $1,034.50 / $1,448.30	Facility		$194.20	$1,034.50	$1,448.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $492.48 / $719.01 / $1,328.53	Professional		$492.48	$719.01	$1,328.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.60 / $876.00 / $1,422.20	Professional		$509.60	$876.00	$1,422.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.20 / $1,034.50 / $1,448.30	Facility		$194.20	$1,034.50	$1,448.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.76 / $691.25 / $1,204.43	Professional		$241.76	$691.25	$1,204.43
United Facility/Professional Professional Modifier Low / Median / High Price $454.79 / $513.80 / $1,378.34	Professional		$454.79	$513.80	$1,378.34