Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.87 / $6,541.00 / $13,413.92	Facility		$678.87	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $756.73 / $1,151.39	Professional		$144.47	$756.73	$1,151.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.81 / $568.82 / $1,075.94	Professional		$379.81	$568.82	$1,075.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.28 / $756.73 / $1,611.95	Facility		$171.28	$756.73	$1,611.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $393.00 / $760.80 / $1,528.80	Professional		$393.00	$760.80	$1,528.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.50 / $925.60 / $1,420.00	Professional		$607.50	$925.60	$1,420.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.44 / $832.40 / $1,611.95	Facility		$201.44	$832.40	$1,611.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $877.50 / $1,388.40	Professional		$345.00	$877.50	$1,388.40
United Facility/Professional Professional Modifier Low / Median / High Price $601.67 / $1,052.94 / $1,323.70	Professional		$601.67	$1,052.94	$1,323.70