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 $1,013.03 / $1,066.83 / $1,066.83	Professional		$1,013.03	$1,066.83	$1,066.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.59 / $639.59 / $639.59	Professional		$639.59	$639.59	$639.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.83 / $280.08 / $1,525.58	Facility		$234.83	$280.08	$1,525.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $464.18 / $557.01 / $1,357.75	Professional		$464.18	$557.01	$1,357.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.50 / $774.90 / $1,050.42	Professional		$687.50	$774.90	$1,050.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $280.08 / $280.08 / $1,525.58	Facility		$280.08	$280.08	$1,525.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.00 / $899.25 / $1,246.50	Professional		$229.00	$899.25	$1,246.50
United Facility/Professional Professional Modifier Low / Median / High Price $235.06 / $511.68 / $1,549.45	Professional		$235.06	$511.68	$1,549.45