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 $214.44 / $786.07 / $3,158.56	Professional		$214.44	$786.07	$3,158.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.15 / $617.15 / $2,202.84	Professional		$617.15	$617.15	$2,202.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.46 / $1,162.10 / $4,421.97	Facility		$222.46	$1,162.10	$4,421.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $504.60 / $1,453.34 / $4,570.45	Professional		$504.60	$1,453.34	$4,570.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $695.25 / $1,137.30 / $4,003.84	Professional		$695.25	$1,137.30	$4,003.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.46 / $1,162.10 / $4,421.97	Facility		$222.46	$1,162.10	$4,421.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $381.10 / $1,137.30 / $4,003.84	Professional		$381.10	$1,137.30	$4,003.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,726.04 / $2,643.42 / $3,732.95	Professional		$1,726.04	$2,643.42	$3,732.95