Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,107.58 / $10,900.00 / $14,552.94	Facility		$1,107.58	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.95 / $416.06 / $2,024.85	Professional		$375.95	$416.06	$2,024.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.12 / $590.19 / $1,302.33	Professional		$367.12	$590.19	$1,302.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $381.14 / $2,024.85 / $2,834.79	Facility		$381.14	$2,024.85	$2,834.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $923.50 / $1,397.64 / $2,580.21	Professional		$923.50	$1,397.64	$2,580.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.90 / $1,793.60 / $2,817.89	Professional		$1,017.90	$1,793.60	$2,817.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.14 / $2,024.85 / $2,834.79	Facility		$381.14	$2,024.85	$2,834.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $451.80 / $1,359.60 / $2,490.91	Professional		$451.80	$1,359.60	$2,490.91
United Facility/Professional Professional Modifier Low / Median / High Price $515.32 / $1,041.85 / $2,873.80	Professional		$515.32	$1,041.85	$2,873.80