Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $1,218.00 / $1,218.00	Facility		$1,218.00	$1,218.00	$1,218.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.71 / $793.87 / $1,162.95	Professional		$736.71	$793.87	$1,162.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $630.72 / $630.72	Professional		$630.72	$630.72	$630.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $494.65 / $1,162.95 / $1,663.02	Facility		$494.65	$1,162.95	$1,663.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.36 / $174.80 / $286.89	Professional		$122.36	$174.80	$286.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.68 / $664.40 / $3,096.90	Professional		$317.68	$664.40	$3,096.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $494.65 / $1,162.95 / $1,628.13	Facility		$494.65	$1,162.95	$1,628.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $630.72 / $2,271.06	Professional		$276.00	$630.72	$2,271.06
United Facility/Professional Professional Modifier Low / Median / High Price $173.52 / $534.82 / $1,970.98	Professional		$173.52	$534.82	$1,970.98