Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.30 / $7,340.00 / $13,413.92	Facility		$653.30	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.65 / $246.21 / $1,194.39	Professional		$161.65	$246.21	$1,194.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.19 / $344.41 / $720.85	Professional		$195.19	$344.41	$720.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.59 / $881.91 / $1,672.15	Facility		$203.59	$881.91	$1,672.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $437.74 / $739.05 / $1,476.30	Professional		$437.74	$739.05	$1,476.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.62 / $878.75 / $1,368.90	Professional		$505.62	$878.75	$1,368.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.59 / $881.91 / $1,672.15	Facility		$203.59	$881.91	$1,672.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.01 / $699.00 / $1,286.00	Professional		$267.01	$699.00	$1,286.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.63 / $581.17 / $1,743.54	Professional		$519.63	$581.17	$1,743.54