Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,057.00 / $9,577.00 / $14,552.94	Facility		$2,057.00	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.84 / $443.13 / $2,142.48	Professional		$398.84	$443.13	$2,142.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.98 / $618.48 / $1,351.19	Professional		$396.98	$618.48	$1,351.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.77 / $2,142.48 / $2,999.47	Facility		$407.77	$2,142.48	$2,999.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,009.20 / $1,486.26 / $2,737.96	Professional		$1,009.20	$1,486.26	$2,737.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,046.32 / $1,834.50 / $3,079.44	Professional		$1,046.32	$1,834.50	$3,079.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.77 / $2,142.48 / $2,999.47	Facility		$407.77	$2,142.48	$2,999.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $491.08 / $1,423.20 / $2,627.24	Professional		$491.08	$1,423.20	$2,627.24
United Facility/Professional Professional Modifier Low / Median / High Price $423.86 / $1,080.94 / $2,981.60	Professional		$423.86	$1,080.94	$2,981.60