Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.31 / $6,541.00 / $13,413.92	Facility		$703.31	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.04 / $793.87 / $1,192.83	Professional		$148.04	$793.87	$1,192.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.09 / $608.11 / $1,098.25	Professional		$399.09	$608.11	$1,098.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.04 / $793.87 / $1,669.98	Facility		$179.04	$793.87	$1,669.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $391.40 / $618.86 / $1,454.70	Professional		$391.40	$618.86	$1,454.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $605.00 / $932.50 / $1,412.81	Professional		$605.00	$932.50	$1,412.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.36 / $873.26 / $1,669.98	Facility		$206.36	$873.26	$1,669.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.94 / $902.85 / $1,419.38	Professional		$363.94	$902.85	$1,419.38
United Facility/Professional Professional Modifier Low / Median / High Price $627.96 / $1,098.93 / $1,381.51	Professional		$627.96	$1,098.93	$1,381.51