Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.23 / $286.88 / $1,565.14	Professional		$271.23	$286.88	$1,565.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.83 / $463.47 / $1,003.95	Professional		$266.83	$463.47	$1,003.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $273.17 / $1,565.14 / $2,191.19	Facility		$273.17	$1,565.14	$2,191.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $667.95 / $1,086.75 / $1,996.39	Professional		$667.95	$1,086.75	$1,996.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.11 / $1,286.40 / $2,038.16	Professional		$761.11	$1,286.40	$2,038.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.17 / $1,565.14 / $2,191.19	Facility		$273.17	$1,565.14	$2,191.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.86 / $1,018.75 / $1,852.32	Professional		$324.86	$1,018.75	$1,852.32
United Facility/Professional Professional Modifier Low / Median / High Price $683.41 / $867.46 / $2,215.39	Professional		$683.41	$867.46	$2,215.39