Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.52 / $6,541.00 / $13,413.92	Facility		$628.52	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.65 / $231.73 / $1,149.06	Professional		$128.65	$231.73	$1,149.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.07 / $288.02 / $688.02	Professional		$156.07	$288.02	$688.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.70 / $677.24 / $1,608.68	Facility		$127.70	$677.24	$1,608.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $333.01 / $686.00 / $1,430.10	Professional		$333.01	$686.00	$1,430.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.60 / $756.00 / $1,246.23	Professional		$425.60	$756.00	$1,246.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $677.24 / $1,608.68	Facility		$154.88	$677.24	$1,608.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.10 / $615.45 / $1,210.20	Professional		$244.10	$615.45	$1,210.20
United Facility/Professional Professional Modifier Low / Median / High Price $495.50 / $597.99 / $1,499.60	Professional		$495.50	$597.99	$1,499.60