Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.99 / $6,541.00 / $13,413.92	Facility		$691.99	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.14 / $829.19 / $1,167.55	Professional		$178.14	$829.19	$1,167.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.70 / $422.71 / $783.34	Professional		$303.70	$422.71	$783.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $829.19 / $1,167.55 / $1,634.57	Facility		$829.19	$1,167.55	$1,634.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $492.00 / $715.17	Professional		$410.00	$492.00	$715.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.20 / $735.15 / $1,051.50	Professional		$407.20	$735.15	$1,051.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $829.19 / $1,167.55 / $1,634.57	Facility		$829.19	$1,167.55	$1,634.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.70 / $630.90 / $1,209.04	Professional		$303.70	$630.90	$1,209.04
United Facility/Professional Professional Modifier Low / Median / High Price $264.85 / $626.66 / $945.38	Professional		$264.85	$626.66	$945.38