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 $834.83 / $834.83 / $1,120.09	Professional		$834.83	$834.83	$1,120.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.10 / $592.10 / $592.10	Professional		$592.10	$592.10	$592.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.15 / $834.83 / $1,193.81	Facility		$213.15	$834.83	$1,193.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $431.83 / $1,121.40 / $1,402.70	Professional		$431.83	$1,121.40	$1,402.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.75 / $774.30 / $1,139.59	Professional		$561.75	$774.30	$1,139.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.15 / $834.83 / $1,193.81	Facility		$213.15	$834.83	$1,193.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.63 / $668.75 / $1,148.45	Professional		$244.63	$668.75	$1,148.45
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $476.64 / $1,323.39	Professional		$457.09	$476.64	$1,323.39