Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.79 / $6,541.00 / $13,413.92	Facility		$741.79	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.37 / $262.70 / $1,258.08	Professional		$201.37	$262.70	$1,258.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.77 / $746.16 / $1,130.24	Professional		$557.77	$746.16	$1,130.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $237.55 / $1,121.75 / $1,761.33	Facility		$237.55	$1,121.75	$1,761.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $577.38 / $786.99 / $1,581.45	Professional		$577.38	$786.99	$1,581.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.40 / $1,175.95 / $1,470.00	Professional		$842.40	$1,175.95	$1,470.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $237.55 / $1,121.75 / $1,761.33	Facility		$237.55	$1,121.75	$1,761.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $473.00 / $1,144.50 / $1,480.68	Professional		$473.00	$1,144.50	$1,480.68
United Facility/Professional Professional Modifier Low / Median / High Price $661.40 / $665.52 / $1,364.32	Professional		$661.40	$665.52	$1,364.32