Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.78 / $6,541.00 / $13,413.92	Facility		$639.78	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $223.57 / $1,079.44	Professional		$150.93	$223.57	$1,079.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $385.64 / $718.07	Professional		$305.89	$385.64	$718.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $862.43 / $1,207.40 / $1,511.22	Facility		$862.43	$1,207.40	$1,511.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $440.73 / $528.87 / $667.62	Professional		$440.73	$528.87	$667.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.70 / $761.91 / $997.35	Professional		$434.70	$761.91	$997.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $862.43 / $1,207.40 / $1,511.22	Facility		$862.43	$1,207.40	$1,511.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.88 / $663.00 / $1,194.84	Professional		$324.88	$663.00	$1,194.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.10 / $574.46 / $866.63	Professional		$245.10	$574.46	$866.63