Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $9,577.00 / $16,335.00	Facility		$2,464.00	$9,577.00	$16,335.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.13 / $965.13 / $2,088.21	Professional		$965.13	$965.13	$2,088.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $957.28 / $957.28 / $1,399.72	Professional		$957.28	$957.28	$1,399.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $495.01 / $965.13 / $1,380.14	Facility		$495.01	$965.13	$1,380.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $913.80 / $1,265.59 / $3,247.92	Professional		$913.80	$1,265.59	$3,247.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.50 / $1,638.50 / $2,538.00	Professional		$1,412.50	$1,638.50	$2,538.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $495.01 / $965.13 / $1,380.14	Facility		$495.01	$965.13	$1,380.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $541.03 / $1,707.00 / $2,593.48	Professional		$541.03	$1,707.00	$2,593.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,116.92 / $1,119.78 / $2,025.24	Professional		$1,116.92	$1,119.78	$2,025.24