Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $10,715.19 / $14,125.38	Facility		$812.83	$10,715.19	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $1,148.15	Professional		$257.04	$416.87	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,737.80	Professional		$660.69	$1,000.00	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $630.96 / $1,905.46	Facility		$309.03	$630.96	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $1,905.46	Professional		$645.65	$1,047.13	$1,905.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,513.56 / $2,290.87	Professional		$954.99	$1,513.56	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $1,862.09	Facility		$316.23	$537.03	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $549.54 / $1,000.00	Professional		$60.26	$549.54	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,318.26 / $2,187.76	Professional		$398.11	$1,318.26	$2,187.76