Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.93 / $7,340.00 / $13,413.92	Facility		$760.93	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.95 / $1,149.43 / $1,490.07	Professional		$638.95	$1,149.43	$1,490.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.61 / $447.61 / $862.19	Professional		$447.61	$447.61	$862.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.03 / $894.53 / $1,736.41	Facility		$165.03	$894.53	$1,736.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $374.78 / $844.20 / $1,738.44	Professional		$374.78	$844.20	$1,738.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.65 / $870.00 / $1,525.73	Professional		$538.65	$870.00	$1,525.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.03 / $894.53 / $1,736.41	Facility		$165.03	$894.53	$1,736.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $284.85 / $734.97 / $1,525.73	Professional		$284.85	$734.97	$1,525.73
United Facility/Professional Professional Modifier Low / Median / High Price $671.73 / $689.76 / $1,557.01	Professional		$671.73	$689.76	$1,557.01