Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.77 / $9,285.00 / $13,413.92	Facility		$574.77	$9,285.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.22 / $565.91 / $2,003.84	Professional		$282.22	$565.91	$2,003.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.50 / $737.75 / $1,354.79	Professional		$460.50	$737.75	$1,354.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,267.16 / $1,812.04 / $2,805.38	Facility		$1,267.16	$1,812.04	$2,805.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $626.73 / $752.07 / $1,228.53	Professional		$626.73	$752.07	$1,228.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $838.20 / $1,123.75 / $1,835.70	Professional		$838.20	$1,123.75	$1,835.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,267.16 / $1,812.04 / $2,805.38	Facility		$1,267.16	$1,812.04	$2,805.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $487.68 / $1,103.40 / $1,839.00	Professional		$487.68	$1,103.40	$1,839.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.12 / $1,083.82 / $1,635.06	Professional		$465.12	$1,083.82	$1,635.06