Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.03 / $7,340.00 / $13,413.92	Facility		$751.03	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.05 / $848.99 / $1,273.79	Professional		$162.05	$848.99	$1,273.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.84 / $629.66 / $1,186.61	Professional		$425.84	$629.66	$1,186.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.33 / $848.99 / $1,783.31	Facility		$193.33	$848.99	$1,783.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $440.73 / $840.36 / $1,688.70	Professional		$440.73	$840.36	$1,688.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.25 / $1,036.00 / $1,572.00	Professional		$681.25	$1,036.00	$1,572.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.80 / $933.89 / $1,783.31	Facility		$224.80	$933.89	$1,783.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $387.75 / $982.30 / $1,538.55	Professional		$387.75	$982.30	$1,538.55
United Facility/Professional Professional Modifier Low / Median / High Price $668.22 / $1,008.08 / $1,470.08	Professional		$668.22	$1,008.08	$1,470.08