Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.60 / $3,986.64 / $11,709.00	Facility		$1,222.60	$3,986.64	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.85 / $498.78 / $2,460.17	Professional		$239.85	$498.78	$2,460.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.24 / $545.38 / $1,501.73	Professional		$310.24	$545.38	$1,501.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.92 / $1,222.61 / $3,444.25	Facility		$281.92	$1,222.61	$3,444.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $620.22 / $1,401.24 / $3,098.76	Professional		$620.22	$1,401.24	$3,098.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $805.20 / $1,513.20 / $2,736.36	Professional		$805.20	$1,513.20	$2,736.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.92 / $1,222.61 / $3,444.25	Facility		$281.92	$1,222.61	$3,444.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.43 / $1,210.84 / $2,626.00	Professional		$464.43	$1,210.84	$2,626.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,060.78 / $1,262.15 / $3,270.18	Professional		$1,060.78	$1,262.15	$3,270.18