Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.20 / $6,541.00 / $13,413.92	Facility		$644.20	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $222.36 / $1,092.58	Professional		$66.04	$222.36	$1,092.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.78 / $372.20 / $1,027.92	Professional		$225.78	$372.20	$1,027.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.28 / $446.78 / $1,529.63	Facility		$88.28	$446.78	$1,529.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.76 / $510.23 / $1,224.00	Professional		$209.76	$510.23	$1,224.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.75 / $480.70 / $1,213.80	Professional		$323.75	$480.70	$1,213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.20 / $491.46 / $1,529.63	Facility		$109.20	$491.46	$1,529.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.78 / $455.40 / $1,169.84	Professional		$225.78	$455.40	$1,169.84
United Facility/Professional Professional Modifier Low / Median / High Price $609.16 / $1,044.30 / $1,340.46	Professional		$609.16	$1,044.30	$1,340.46