Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.62 / $6,541.00 / $13,413.92	Facility		$919.62	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.09 / $342.28 / $1,681.24	Professional		$220.09	$342.28	$1,681.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.26 / $464.60 / $1,014.91	Professional		$293.26	$464.60	$1,014.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $215.55 / $1,175.39 / $2,353.73	Facility		$215.55	$1,175.39	$2,353.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $594.60 / $1,046.01 / $2,089.50	Professional		$594.60	$1,046.01	$2,089.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.95 / $1,301.30 / $2,165.77	Professional		$775.95	$1,301.30	$2,165.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.56 / $1,175.39 / $2,353.73	Facility		$276.56	$1,175.39	$2,353.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $393.98 / $1,006.67 / $2,036.00	Professional		$393.98	$1,006.67	$2,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $731.10 / $1,066.10 / $2,569.32	Professional		$731.10	$1,066.10	$2,569.32