Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.64 / $7,340.00 / $13,413.92	Facility		$618.64	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.93 / $352.50 / $1,774.76	Professional		$179.93	$352.50	$1,774.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.13 / $623.09 / $1,160.20	Professional		$370.13	$623.09	$1,160.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,043.80 / $1,492.63 / $2,484.66	Facility		$1,043.80	$1,492.63	$2,484.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.83 / $629.79 / $1,111.10	Professional		$524.83	$629.79	$1,111.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.50 / $926.56 / $1,600.71	Professional		$698.50	$926.56	$1,600.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,043.80 / $1,492.63 / $2,484.66	Facility		$1,043.80	$1,492.63	$2,484.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $406.40 / $924.00 / $1,590.00	Professional		$406.40	$924.00	$1,590.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.52 / $928.16 / $1,400.23	Professional		$390.52	$928.16	$1,400.23