Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $6,784.20 / $30,158.52	Facility		$1,872.00	$6,784.20	$30,158.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.03 / $285.73 / $1,374.28	Professional		$194.03	$285.73	$1,374.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.35 / $762.35 / $915.67	Professional		$762.35	$762.35	$915.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $285.68 / $1,366.87 / $1,913.62	Facility		$285.68	$1,366.87	$1,913.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $570.10 / $1,480.50 / $1,974.06	Professional		$570.10	$1,480.50	$1,974.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $951.75 / $1,218.75 / $1,595.79	Professional		$951.75	$1,218.75	$1,595.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $285.68 / $1,366.87 / $1,913.62	Facility		$285.68	$1,366.87	$1,913.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $437.86 / $1,127.50 / $1,554.59	Professional		$437.86	$1,127.50	$1,554.59
United Facility/Professional Professional Modifier Low / Median / High Price $674.88 / $1,098.81 / $1,552.22	Professional		$674.88	$1,098.81	$1,552.22