Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.72 / $2,445.30 / $10,900.00	Facility		$660.72	$2,445.30	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.37 / $498.81 / $2,473.89	Professional		$195.37	$498.81	$2,473.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.03 / $525.13 / $1,526.28	Professional		$239.03	$525.13	$1,526.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.03 / $1,055.33 / $3,463.45	Facility		$243.03	$1,055.33	$3,463.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $534.69 / $1,256.24 / $3,038.70	Professional		$534.69	$1,256.24	$3,038.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.12 / $1,288.56 / $2,767.60	Professional		$694.12	$1,288.56	$2,767.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.03 / $1,055.33 / $3,463.45	Facility		$243.03	$1,055.33	$3,463.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $427.72 / $1,082.72 / $2,612.79	Professional		$427.72	$1,082.72	$2,612.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.98 / $3,793.98 / $3,793.98	Facility		$3,793.98	$3,793.98	$3,793.98
United Facility/Professional Professional Modifier Low / Median / High Price $505.60 / $1,281.92 / $3,250.26	Professional		$505.60	$1,281.92	$3,250.26