Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.30 / $7,340.00 / $13,413.92	Facility		$735.30	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.63 / $566.83 / $1,198.51	Professional		$125.63	$566.83	$1,198.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.36 / $395.36 / $824.06	Professional		$395.36	$395.36	$824.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.41 / $793.56 / $1,677.91	Facility		$147.41	$793.56	$1,677.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $350.31 / $815.82 / $1,703.52	Professional		$350.31	$815.82	$1,703.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.30 / $755.97 / $1,468.01	Professional		$483.30	$755.97	$1,468.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.41 / $793.56 / $1,677.91	Facility		$147.41	$793.56	$1,677.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.54 / $650.30 / $1,468.01	Professional		$260.54	$650.30	$1,468.01
United Facility/Professional Professional Modifier Low / Median / High Price $642.00 / $659.24 / $1,487.73	Professional		$642.00	$659.24	$1,487.73