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 $173.59 / $949.76 / $3,314.91	Professional		$173.59	$949.76	$3,314.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.33 / $714.33 / $2,313.13	Professional		$714.33	$714.33	$2,313.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.13 / $1,345.41 / $4,640.87	Facility		$257.13	$1,345.41	$4,640.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $583.20 / $1,681.42 / $4,800.46	Professional		$583.20	$1,681.42	$4,800.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.60 / $1,313.47 / $4,182.78	Professional		$804.60	$1,313.47	$4,182.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.13 / $1,345.41 / $4,640.87	Facility		$257.13	$1,345.41	$4,640.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $441.04 / $1,313.47 / $4,182.78	Professional		$441.04	$1,313.47	$4,182.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,704.48 / $2,775.75 / $3,920.30	Professional		$1,704.48	$2,775.75	$3,920.30