Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,630.08 / $11,709.00 / $14,552.94	Facility		$1,630.08	$11,709.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $191.15 / $1,332.94	Professional		$80.44	$191.15	$1,332.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.54 / $320.54 / $1,488.62	Professional		$208.54	$320.54	$1,488.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.78 / $290.58 / $1,866.12	Facility		$115.78	$290.58	$1,866.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.95 / $643.55 / $2,060.19	Professional		$219.95	$643.55	$2,060.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $445.55 / $2,868.10	Professional		$184.80	$445.55	$2,868.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.78 / $284.49 / $1,866.12	Facility		$115.78	$284.49	$1,866.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.54 / $532.00 / $2,134.50	Professional		$208.54	$532.00	$2,134.50
United Facility/Professional Professional Modifier Low / Median / High Price $577.55 / $1,190.90 / $2,381.80	Professional		$577.55	$1,190.90	$2,381.80