Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.10 / $9,285.00 / $13,413.92	Facility		$713.10	$9,285.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.36 / $433.61 / $1,861.32	Professional		$245.36	$433.61	$1,861.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.38 / $684.73 / $1,255.48	Professional		$437.38	$684.73	$1,255.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,203.16 / $1,720.52 / $2,605.85	Facility		$1,203.16	$1,720.52	$2,605.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $598.40 / $718.08 / $1,144.10	Professional		$598.40	$718.08	$1,144.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.48 / $1,073.00 / $1,708.50	Professional		$592.48	$1,073.00	$1,708.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,203.16 / $1,720.52 / $2,605.85	Facility		$1,203.16	$1,720.52	$2,605.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.50 / $949.00 / $1,737.40	Professional		$449.50	$949.00	$1,737.40
United Facility/Professional Professional Modifier Low / Median / High Price $433.58 / $1,004.38 / $1,515.21	Professional		$433.58	$1,004.38	$1,515.21