Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.98 / $885.98 / $885.98	Professional		$885.98	$885.98	$885.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.79 / $619.79 / $619.79	Professional		$619.79	$619.79	$619.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $336.06 / $885.98 / $1,266.95	Facility		$336.06	$885.98	$1,266.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.88 / $181.88 / $259.83	Professional		$181.88	$181.88	$259.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.50 / $867.10 / $1,203.40	Professional		$747.50	$867.10	$1,203.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.06 / $885.98 / $1,266.95	Facility		$336.06	$885.98	$1,266.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.88 / $820.50 / $1,219.81	Professional		$181.88	$820.50	$1,219.81
United Facility/Professional Professional Modifier Low / Median / High Price $646.86 / $648.48 / $1,487.78	Professional		$646.86	$648.48	$1,487.78