Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $6,541.00 / $13,413.92	Facility		$1,190.00	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $461.35 / $2,175.56	Professional		$132.22	$461.35	$2,175.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $424.66 / $1,261.89	Professional		$154.22	$424.66	$1,261.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.70 / $682.75 / $3,045.78	Facility		$125.70	$682.75	$3,045.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $353.17 / $1,028.36 / $2,710.84	Professional		$353.17	$1,028.36	$2,710.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.80 / $1,036.80 / $2,588.00	Professional		$460.80	$1,036.80	$2,588.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.37 / $682.75 / $3,045.78	Facility		$158.37	$682.75	$3,045.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $284.25 / $764.00 / $2,465.75	Professional		$284.25	$764.00	$2,465.75
United Facility/Professional Professional Modifier Low / Median / High Price $927.99 / $1,159.92 / $2,784.54	Professional		$927.99	$1,159.92	$2,784.54