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 $202.58 / $240.49 / $1,174.70	Professional		$202.58	$240.49	$1,174.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.60 / $723.60 / $723.60	Professional		$723.60	$723.60	$723.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $265.86 / $1,174.70 / $1,679.82	Facility		$265.86	$1,174.70	$1,679.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.03 / $1,360.80 / $1,735.31	Professional		$524.03	$1,360.80	$1,735.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $939.60 / $1,361.80	Professional		$810.00	$939.60	$1,361.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.86 / $1,174.70 / $1,679.82	Facility		$265.86	$1,174.70	$1,679.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.60 / $927.00 / $1,373.68	Professional		$292.60	$927.00	$1,373.68
United Facility/Professional Professional Modifier Low / Median / High Price $541.29 / $873.30 / $1,883.59	Professional		$541.29	$873.30	$1,883.59