Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,813.00 / $14,552.94	Facility		$2,236.00	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.62 / $425.59 / $2,206.31	Professional		$399.62	$425.59	$2,206.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.97 / $632.97 / $1,411.36	Professional		$389.97	$632.97	$1,411.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $403.04 / $2,206.31 / $3,088.83	Facility		$403.04	$2,206.31	$3,088.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $975.25 / $1,523.55 / $2,825.74	Professional		$975.25	$1,523.55	$2,825.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,083.98 / $1,888.00 / $2,975.81	Professional		$1,083.98	$1,888.00	$2,975.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $403.04 / $2,206.31 / $3,088.83	Facility		$403.04	$2,206.31	$3,088.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $482.98 / $1,443.60 / $2,673.77	Professional		$482.98	$1,443.60	$2,673.77
United Facility/Professional Professional Modifier Low / Median / High Price $562.96 / $1,129.09 / $3,114.44	Professional		$562.96	$1,129.09	$3,114.44