Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.34 / $6,541.00 / $13,413.92	Facility		$967.34	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.66 / $348.78 / $1,632.12	Professional		$238.66	$348.78	$1,632.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.54 / $593.42 / $1,091.15	Professional		$477.54	$593.42	$1,091.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,336.59 / $1,871.23 / $2,284.96	Facility		$1,336.59	$1,871.23	$2,284.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $678.48 / $814.17 / $1,013.10	Professional		$678.48	$814.17	$1,013.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.96 / $1,172.92 / $1,467.00	Professional		$668.96	$1,172.92	$1,467.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,336.59 / $1,871.23 / $2,284.96	Facility		$1,336.59	$1,871.23	$2,284.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $477.54 / $991.25 / $1,816.58	Professional		$477.54	$991.25	$1,816.58
United Facility/Professional Professional Modifier Low / Median / High Price $369.36 / $872.92 / $1,316.89	Professional		$369.36	$872.92	$1,316.89