Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $6,825.52 / $13,413.92	Facility		$1,872.00	$6,825.52	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.21 / $359.53 / $1,742.68	Professional		$333.21	$359.53	$1,742.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $428.40 / $1,048.80	Professional		$270.00	$428.40	$1,048.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.18 / $1,742.68 / $2,439.75	Facility		$213.18	$1,742.68	$2,439.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $773.72 / $1,110.18 / $2,225.14	Professional		$773.72	$1,110.18	$2,225.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.64 / $1,308.00 / $1,953.60	Professional		$693.64	$1,308.00	$1,953.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.48 / $1,244.19 / $2,439.75	Facility		$281.48	$1,244.19	$2,439.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $355.56 / $1,135.00 / $1,849.65	Professional		$355.56	$1,135.00	$1,849.65
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 $761.73 / $875.52 / $2,366.82	Professional		$761.73	$875.52	$2,366.82