Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.45 / $6,541.00 / $13,413.92	Facility		$688.45	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.21 / $251.51 / $1,161.58	Professional		$156.21	$251.51	$1,161.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.02 / $421.17 / $781.62	Professional		$309.02	$421.17	$781.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $841.78 / $1,178.49 / $1,626.21	Facility		$841.78	$1,178.49	$1,626.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $415.65 / $498.78 / $710.34	Professional		$415.65	$498.78	$710.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.40 / $745.30 / $1,048.50	Professional		$414.40	$745.30	$1,048.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $841.78 / $1,178.49 / $1,626.21	Facility		$841.78	$1,178.49	$1,626.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.02 / $641.25 / $1,230.46	Professional		$309.02	$641.25	$1,230.46
United Facility/Professional Professional Modifier Low / Median / High Price $263.72 / $625.29 / $943.33	Professional		$263.72	$625.29	$943.33