Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.57 / $6,541.00 / $13,413.92	Facility		$963.57	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $372.34 / $1,761.60	Professional		$207.13	$372.34	$1,761.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.04 / $408.75 / $1,061.93	Professional		$210.04	$408.75	$1,061.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $196.39 / $1,037.63 / $2,466.23	Facility		$196.39	$1,037.63	$2,466.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $519.59 / $1,083.25 / $2,222.28	Professional		$519.59	$1,083.25	$2,222.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.80 / $1,080.00 / $1,855.00	Professional		$630.80	$1,080.00	$1,855.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.76 / $1,037.63 / $2,466.23	Facility		$232.76	$1,037.63	$2,466.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.54 / $882.75 / $1,742.00	Professional		$363.54	$882.75	$1,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.46 / $849.54 / $2,343.32	Professional		$755.46	$849.54	$2,343.32