Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.44 / $7,340.00 / $13,413.92	Facility		$899.44	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.96 / $1,201.16 / $1,525.50	Professional		$222.96	$1,201.16	$1,525.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.67 / $807.65 / $1,353.84	Professional		$596.67	$807.65	$1,353.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.83 / $1,201.16 / $2,135.69	Facility		$275.83	$1,201.16	$2,135.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $590.33 / $941.28 / $1,891.50	Professional		$590.33	$941.28	$1,891.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.50 / $1,309.50 / $1,740.00	Professional		$912.50	$1,309.50	$1,740.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $286.49 / $1,296.68 / $2,135.69	Facility		$286.49	$1,296.68	$2,135.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $496.38 / $1,248.75 / $1,740.00	Professional		$496.38	$1,248.75	$1,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $797.02 / $1,394.79 / $1,753.44	Professional		$797.02	$1,394.79	$1,753.44