Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.32 / $6,541.00 / $13,413.92	Facility		$888.32	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $338.96 / $1,624.03	Professional		$94.93	$338.96	$1,624.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $309.73 / $934.19	Professional		$111.55	$309.73	$934.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.21 / $494.76 / $2,273.64	Facility		$115.21	$494.76	$2,273.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.94 / $751.21 / $2,010.09	Professional		$256.94	$751.21	$2,010.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $713.11 / $1,742.40	Professional		$330.00	$713.11	$1,742.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.21 / $494.76 / $2,273.64	Facility		$115.21	$494.76	$2,273.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.35 / $550.00 / $1,570.00	Professional		$207.35	$550.00	$1,570.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,484.78 / $5,484.78 / $5,484.78	Facility		$5,484.78	$5,484.78	$5,484.78
United Facility/Professional Professional Modifier Low / Median / High Price $396.08 / $747.36 / $2,061.46	Professional		$396.08	$747.36	$2,061.46