Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.53 / $6,541.00 / $13,413.92	Facility		$640.53	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.77 / $245.13 / $1,171.01	Professional		$145.77	$245.13	$1,171.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $321.98 / $703.52	Professional		$177.25	$321.98	$703.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.61 / $751.78 / $1,639.41	Facility		$140.61	$751.78	$1,639.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $365.18 / $704.61 / $1,409.10	Professional		$365.18	$704.61	$1,409.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.70 / $838.75 / $1,350.00	Professional		$469.70	$838.75	$1,350.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.85 / $751.78 / $1,639.41	Facility		$169.85	$751.78	$1,639.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.35 / $654.75 / $1,316.25	Professional		$266.35	$654.75	$1,316.25
United Facility/Professional Professional Modifier Low / Median / High Price $495.07 / $584.55 / $1,612.42	Professional		$495.07	$584.55	$1,612.42