Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.51 / $896.53 / $4,092.28	Professional		$202.51	$896.53	$4,092.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.45 / $764.91 / $2,520.21	Professional		$274.45	$764.91	$2,520.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.77 / $1,112.84 / $5,729.19	Facility		$256.77	$1,112.84	$5,729.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $572.60 / $1,672.13 / $5,019.00	Professional		$572.60	$1,672.13	$5,019.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.00 / $1,622.70 / $5,772.00	Professional		$745.00	$1,622.70	$5,772.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.77 / $1,112.84 / $5,729.19	Facility		$256.77	$1,112.84	$5,729.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $438.82 / $1,287.16 / $5,398.00	Professional		$438.82	$1,287.16	$5,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,183.57 / $2,246.71 / $6,197.22	Professional		$1,183.57	$2,246.71	$6,197.22