Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.37 / $346.86 / $1,174.66	Professional		$236.37	$346.86	$1,174.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.70 / $585.35 / $830.11	Professional		$212.70	$585.35	$830.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $220.28 / $1,174.66 / $1,644.52	Facility		$220.28	$1,174.66	$1,644.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $532.90 / $742.75 / $1,499.19	Professional		$532.90	$742.75	$1,499.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $823.75 / $1,149.75 / $2,196.00	Professional		$823.75	$1,149.75	$2,196.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.28 / $1,174.66 / $1,644.52	Facility		$220.28	$1,174.66	$1,644.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.01 / $839.80 / $2,196.00	Professional		$262.01	$839.80	$2,196.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.20 / $602.24 / $1,972.34	Professional		$513.20	$602.24	$1,972.34