Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,541.00 / $13,413.92	Facility		$2,464.00	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.01 / $5,084.91 / $10,403.50	Professional		$861.01	$5,084.91	$10,403.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.85 / $637.85 / $5,574.45	Professional		$637.85	$637.85	$5,574.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $230.29 / $1,231.24 / $10,674.02	Facility		$230.29	$1,231.24	$10,674.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $509.46 / $1,497.86 / $11,088.00	Professional		$509.46	$1,497.86	$11,088.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $697.95 / $1,268.86 / $10,399.21	Professional		$697.95	$1,268.86	$10,399.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.29 / $1,231.24 / $10,674.02	Facility		$230.29	$1,231.24	$10,674.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.58 / $1,757.87 / $10,982.00	Professional		$382.58	$1,757.87	$10,982.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,459.56 / $4,788.27 / $10,387.40	Professional		$4,459.56	$4,788.27	$10,387.40