Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.44 / $7,340.00 / $13,413.92	Facility		$549.44	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.48 / $438.93 / $1,124.43	Professional		$122.48	$438.93	$1,124.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.55 / $566.85 / $1,041.88	Professional		$332.55	$566.85	$1,041.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.32 / $656.58 / $1,574.20	Facility		$151.32	$656.58	$1,574.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $325.08 / $658.56 / $1,386.45	Professional		$325.08	$658.56	$1,386.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.50 / $800.00 / $1,456.65	Professional		$502.50	$800.00	$1,456.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.28 / $722.24 / $1,574.20	Facility		$170.28	$722.24	$1,574.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $341.50 / $770.00 / $1,456.65	Professional		$341.50	$770.00	$1,456.65
United Facility/Professional Professional Modifier Low / Median / High Price $635.16 / $1,111.53 / $1,397.35	Professional		$635.16	$1,111.53	$1,397.35