Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.10 / $6,541.00 / $13,413.92	Facility		$657.10	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.93 / $229.05 / $1,114.45	Professional		$180.93	$229.05	$1,114.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.32 / $686.12 / $1,034.91	Professional		$523.32	$686.12	$1,034.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.26 / $1,059.92 / $1,560.23	Facility		$216.26	$1,059.92	$1,560.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $570.10 / $722.94 / $1,452.75	Professional		$570.10	$722.94	$1,452.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $802.10 / $1,122.00 / $1,363.35	Professional		$802.10	$1,122.00	$1,363.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.28 / $1,059.92 / $1,560.23	Facility		$217.28	$1,059.92	$1,560.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.48 / $1,074.50 / $1,365.00	Professional		$449.48	$1,074.50	$1,365.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.14 / $989.18 / $1,269.71	Professional		$577.14	$989.18	$1,269.71