Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,517.55 / $1,517.55 / $2,126.80	Professional		$1,517.55	$1,517.55	$2,126.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.35 / $1,122.35 / $1,122.35	Professional		$1,122.35	$1,122.35	$1,122.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $406.76 / $1,517.55 / $2,170.10	Facility		$406.76	$1,517.55	$2,170.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $774.70 / $2,011.80 / $2,661.62	Professional		$774.70	$2,011.80	$2,661.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,197.50 / $1,389.10 / $2,065.80	Professional		$1,197.50	$1,389.10	$2,065.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.76 / $1,517.55 / $2,170.10	Facility		$406.76	$1,517.55	$2,170.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $444.13 / $1,395.00 / $2,085.05	Professional		$444.13	$1,395.00	$2,085.05
United Facility/Professional Professional Modifier Low / Median / High Price $810.23 / $1,346.85 / $2,081.55	Professional		$810.23	$1,346.85	$2,081.55