Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $9,285.00 / $13,413.92	Facility		$2,464.00	$9,285.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $3,257.17 / $14,042.20	Professional		$157.33	$3,257.17	$14,042.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.45 / $574.45 / $8,878.10	Professional		$574.45	$574.45	$8,878.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.01 / $1,322.38 / $19,659.08	Facility		$208.01	$1,322.38	$19,659.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $476.46 / $1,357.40 / $17,175.90	Professional		$476.46	$1,357.40	$17,175.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.45 / $1,070.40 / $21,096.00	Professional		$657.45	$1,070.40	$21,096.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.01 / $1,322.38 / $19,659.08	Facility		$208.01	$1,322.38	$19,659.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.38 / $2,803.91 / $21,096.00	Professional		$360.38	$2,803.91	$21,096.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,102.48 / $10,714.84 / $19,676.73	Professional		$7,102.48	$10,714.84	$19,676.73