Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.55 / $6,541.00 / $13,413.92	Facility		$696.55	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $785.26 / $1,181.34	Professional		$148.40	$785.26	$1,181.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.01 / $605.73 / $1,092.43	Professional		$393.01	$605.73	$1,092.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.20 / $785.26 / $1,653.89	Facility		$173.20	$785.26	$1,653.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $397.85 / $736.53 / $1,480.05	Professional		$397.85	$736.53	$1,480.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.00 / $945.10 / $1,428.00	Professional		$615.00	$945.10	$1,428.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.98 / $863.79 / $1,653.89	Facility		$204.98	$863.79	$1,653.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $898.75 / $1,428.00	Professional		$351.00	$898.75	$1,428.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.60 / $1,087.66 / $1,396.12	Professional		$634.60	$1,087.66	$1,396.12