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 $203.03 / $855.03 / $3,911.24	Professional		$203.03	$855.03	$3,911.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.75 / $730.54 / $2,408.29	Professional		$257.75	$730.54	$2,408.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $259.79 / $1,125.19 / $5,475.74	Facility		$259.79	$1,125.19	$5,475.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $579.33 / $1,694.36 / $4,769.10	Professional		$579.33	$1,694.36	$4,769.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.92 / $1,809.50 / $5,370.30	Professional		$753.92	$1,809.50	$5,370.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.79 / $1,125.19 / $5,475.74	Facility		$259.79	$1,125.19	$5,475.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $448.44 / $1,294.00 / $5,098.00	Professional		$448.44	$1,294.00	$5,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,547.00 / $2,129.46 / $5,873.77	Professional		$1,547.00	$2,129.46	$5,873.77