Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.05 / $6,541.00 / $13,413.92	Facility		$695.05	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $835.97 / $1,270.67	Professional		$188.91	$835.97	$1,270.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.98 / $522.98 / $789.28	Professional		$522.98	$522.98	$789.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.57 / $1,170.35 / $1,778.94	Facility		$189.57	$1,170.35	$1,778.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $401.90 / $1,043.70 / $1,605.34	Professional		$401.90	$1,043.70	$1,605.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.95 / $1,051.65 / $1,681.42	Professional		$670.95	$1,051.65	$1,681.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.57 / $1,170.35 / $1,778.94	Facility		$189.57	$1,170.35	$1,778.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.06 / $919.67 / $1,672.00	Professional		$356.06	$919.67	$1,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $631.41 / $952.56 / $1,476.55	Professional		$631.41	$952.56	$1,476.55