Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.10 / $3,641.58 / $11,709.00	Facility		$1,138.10	$3,641.58	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.89 / $454.46 / $2,239.32	Professional		$172.89	$454.46	$2,239.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.92 / $473.67 / $1,385.29	Professional		$206.92	$473.67	$1,385.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.22 / $910.49 / $3,135.05	Facility		$210.22	$910.49	$3,135.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $462.48 / $1,138.16 / $2,772.00	Professional		$462.48	$1,138.16	$2,772.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.84 / $1,144.75 / $2,497.00	Professional		$603.84	$1,144.75	$2,497.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.22 / $910.49 / $3,135.05	Facility		$210.22	$910.49	$3,135.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $372.22 / $951.90 / $2,360.00	Professional		$372.22	$951.90	$2,360.00
United Facility/Professional Professional Modifier Low / Median / High Price $960.12 / $1,167.65 / $2,934.82	Professional		$960.12	$1,167.65	$2,934.82