Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,197.70 / $6,541.00 / $13,413.92	Facility		$1,197.70	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.93 / $1,408.17 / $2,300.42	Professional		$249.93	$1,408.17	$2,300.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.47 / $357.47 / $1,354.67	Professional		$357.47	$357.47	$1,354.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $308.57 / $514.35 / $3,289.60	Facility		$308.57	$514.35	$3,289.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $610.54 / $1,055.71 / $1,779.97	Professional		$610.54	$1,055.71	$1,779.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $943.75 / $1,381.65 / $2,191.30	Professional		$943.75	$1,381.65	$2,191.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.98 / $645.48 / $3,289.60	Facility		$368.98	$645.48	$3,289.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.47 / $1,265.25 / $2,255.15	Professional		$357.47	$1,265.25	$2,255.15
United Facility/Professional Professional Modifier Low / Median / High Price $546.52 / $1,083.74 / $3,281.74	Professional		$546.52	$1,083.74	$3,281.74