Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.83 / $6,541.00 / $13,413.92	Facility		$731.83	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $568.07 / $1,192.84	Professional		$121.44	$568.07	$1,192.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.90 / $384.90 / $773.25	Professional		$384.90	$384.90	$773.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.81 / $795.30 / $1,669.99	Facility		$146.81	$795.30	$1,669.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $327.75 / $816.53 / $1,677.01	Professional		$327.75	$816.53	$1,677.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.20 / $862.50 / $1,394.90	Professional		$502.20	$862.50	$1,394.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.81 / $795.30 / $1,669.99	Facility		$146.81	$795.30	$1,669.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.26 / $654.16 / $1,394.90	Professional		$262.26	$654.16	$1,394.90
United Facility/Professional Professional Modifier Low / Median / High Price $558.17 / $618.60 / $1,283.81	Professional		$558.17	$618.60	$1,283.81