Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.36 / $7,340.00 / $13,413.92	Facility		$947.36	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.15 / $338.26 / $1,598.41	Professional		$203.15	$338.26	$1,598.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.90 / $584.23 / $1,077.96	Professional		$412.90	$584.23	$1,077.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,162.97 / $1,628.16 / $2,237.77	Facility		$1,162.97	$1,628.16	$2,237.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $578.20 / $693.84 / $982.05	Professional		$578.20	$693.84	$982.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.36 / $1,036.75 / $1,450.50	Professional		$572.36	$1,036.75	$1,450.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,162.97 / $1,628.16 / $2,237.77	Facility		$1,162.97	$1,628.16	$2,237.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.52 / $888.75 / $1,649.34	Professional		$431.52	$888.75	$1,649.34
United Facility/Professional Professional Modifier Low / Median / High Price $366.69 / $862.36 / $1,300.96	Professional		$366.69	$862.36	$1,300.96