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 $228.22 / $389.40 / $1,970.98	Professional		$228.22	$389.40	$1,970.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.86 / $428.40 / $1,185.20	Professional		$269.86	$428.40	$1,185.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.28 / $1,970.98 / $2,759.37	Facility		$380.28	$1,970.98	$2,759.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $860.78 / $1,249.38 / $2,511.96	Professional		$860.78	$1,249.38	$2,511.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.79 / $1,446.25 / $2,089.46	Professional		$709.79	$1,446.25	$2,089.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $349.73 / $1,415.23 / $2,759.37	Facility		$349.73	$1,415.23	$2,759.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $396.80 / $1,146.25 / $1,908.49	Professional		$396.80	$1,146.25	$1,908.49
United Facility/Professional Professional Modifier Low / Median / High Price $785.20 / $976.02 / $2,692.20	Professional		$785.20	$976.02	$2,692.20