Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.60 / $7,340.00 / $13,413.92	Facility		$940.60	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.46 / $335.24 / $1,711.31	Professional		$241.46	$335.24	$1,711.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.59 / $839.59 / $1,071.58	Professional		$839.59	$839.59	$1,071.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $307.74 / $1,711.31 / $2,395.83	Facility		$307.74	$1,711.31	$2,395.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $625.10 / $1,623.30 / $2,182.73	Professional		$625.10	$1,623.30	$2,182.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,039.50 / $1,370.25 / $1,898.00	Professional		$1,039.50	$1,370.25	$1,898.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.74 / $1,711.31 / $2,395.83	Facility		$307.74	$1,711.31	$2,395.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $1,268.75 / $1,898.00	Professional		$484.14	$1,268.75	$1,898.00
United Facility/Professional Professional Modifier Low / Median / High Price $843.72 / $1,285.92 / $2,143.19	Professional		$843.72	$1,285.92	$2,143.19