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 $836.11 / $836.11 / $1,020.60	Professional		$836.11	$836.11	$1,020.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.10 / $604.10 / $604.10	Professional		$604.10	$604.10	$604.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.96 / $836.11 / $1,195.64	Facility		$210.96	$836.11	$1,195.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $413.23 / $1,073.09 / $1,390.35	Professional		$413.23	$1,073.09	$1,390.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.75 / $774.00 / $998.80	Professional		$638.75	$774.00	$998.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.96 / $836.11 / $1,195.64	Facility		$210.96	$836.11	$1,195.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.75 / $774.00 / $1,037.39	Professional		$213.75	$774.00	$1,037.39
United Facility/Professional Professional Modifier Low / Median / High Price $240.89 / $483.28 / $998.89	Professional		$240.89	$483.28	$998.89