Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.86 / $949.86 / $1,178.81	Professional		$949.86	$949.86	$1,178.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.25 / $658.25 / $658.25	Professional		$658.25	$658.25	$658.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.97 / $949.86 / $1,358.30	Facility		$245.97	$949.86	$1,358.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $492.48 / $1,278.90 / $1,623.05	Professional		$492.48	$1,278.90	$1,623.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.25 / $883.05 / $1,172.59	Professional		$761.25	$883.05	$1,172.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.97 / $949.86 / $1,358.30	Facility		$245.97	$949.86	$1,358.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $853.50 / $1,213.11	Professional		$258.39	$853.50	$1,213.11
United Facility/Professional Professional Modifier Low / Median / High Price $501.62 / $789.90 / $1,153.73	Professional		$501.62	$789.90	$1,153.73