Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.24 / $6,541.00 / $13,413.92	Facility		$693.24	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.89 / $1,094.07 / $1,549.03	Professional		$505.89	$1,094.07	$1,549.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.14 / $308.14 / $876.05	Professional		$308.14	$308.14	$876.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.34 / $708.25 / $1,864.11	Facility		$110.34	$708.25	$1,864.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.17 / $608.29 / $1,556.39	Professional		$256.17	$608.29	$1,556.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $573.11 / $1,583.45	Professional		$351.00	$573.11	$1,583.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.34 / $708.25 / $1,864.11	Facility		$110.34	$708.25	$1,864.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $308.14 / $573.11 / $1,755.01	Professional		$308.14	$573.11	$1,755.01
United Facility/Professional Professional Modifier Low / Median / High Price $670.88 / $1,051.26 / $1,583.10	Professional		$670.88	$1,051.26	$1,583.10