Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.33 / $10,480.00 / $14,552.94	Facility		$750.33	$10,480.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.48 / $1,150.93 / $1,536.23	Professional		$693.48	$1,150.93	$1,536.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.35 / $480.35 / $885.85	Professional		$480.35	$480.35	$885.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.95 / $970.87 / $1,772.36	Facility		$173.95	$970.87	$1,772.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $390.93 / $905.10 / $1,719.08	Professional		$390.93	$905.10	$1,719.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.45 / $929.91 / $1,658.00	Professional		$576.45	$929.91	$1,658.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.95 / $970.87 / $1,772.36	Facility		$173.95	$970.87	$1,772.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $804.23 / $1,658.00	Professional		$301.35	$804.23	$1,658.00
United Facility/Professional Professional Modifier Low / Median / High Price $708.68 / $1,069.11 / $1,771.70	Professional		$708.68	$1,069.11	$1,771.70