Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.26 / $10,175.36 / $13,413.92	Facility		$860.26	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $802.65 / $1,459.02	Professional		$162.13	$802.65	$1,459.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.24 / $744.69 / $1,348.74	Professional		$488.24	$744.69	$1,348.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $241.71 / $972.52 / $2,042.63	Facility		$241.71	$972.52	$2,042.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $557.17 / $1,043.16 / $2,096.25	Professional		$557.17	$1,043.16	$2,096.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $861.25 / $1,294.00 / $1,967.25	Professional		$861.25	$1,294.00	$1,967.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.72 / $1,069.77 / $2,042.63	Facility		$254.72	$1,069.77	$2,042.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $455.25 / $1,148.55 / $1,834.95	Professional		$455.25	$1,148.55	$1,834.95
United Facility/Professional Professional Modifier Low / Median / High Price $787.50 / $1,349.72 / $1,732.50	Professional		$787.50	$1,349.72	$1,732.50