Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.17 / $6,541.00 / $13,413.92	Facility		$857.17	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.79 / $1,051.83 / $1,702.85	Professional		$214.79	$1,051.83	$1,702.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.95 / $597.75 / $1,117.19	Professional		$375.95	$597.75	$1,117.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,051.83 / $1,504.12 / $2,383.98	Facility		$1,051.83	$1,504.12	$2,383.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.83 / $629.79 / $1,050.93	Professional		$524.83	$629.79	$1,050.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.00 / $939.00 / $1,514.03	Professional		$704.00	$939.00	$1,514.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,051.83 / $1,504.12 / $2,383.98	Facility		$1,051.83	$1,504.12	$2,383.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $409.60 / $900.00 / $1,524.00	Professional		$409.60	$900.00	$1,524.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.08 / $893.76 / $1,348.33	Professional		$386.08	$893.76	$1,348.33