Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,257.54 / $1,257.54 / $1,766.07	Professional		$1,257.54	$1,257.54	$1,766.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.60 / $933.60 / $933.60	Professional		$933.60	$933.60	$933.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $335.95 / $1,257.54 / $1,798.28	Facility		$335.95	$1,257.54	$1,798.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $634.79 / $1,648.50 / $2,200.25	Professional		$634.79	$1,648.50	$2,200.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $981.25 / $1,138.25 / $1,705.00	Professional		$981.25	$1,138.25	$1,705.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $335.95 / $1,257.54 / $1,798.28	Facility		$335.95	$1,257.54	$1,798.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.18 / $1,155.00 / $1,723.79	Professional		$367.18	$1,155.00	$1,723.79
United Facility/Professional Professional Modifier Low / Median / High Price $746.88 / $746.88 / $1,728.50	Professional		$746.88	$746.88	$1,728.50