Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.27 / $7,340.00 / $13,413.92	Facility		$853.27	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $316.55 / $1,559.96	Professional		$158.22	$316.55	$1,559.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $351.53 / $956.92	Professional		$179.39	$351.53	$956.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $198.34 / $853.01 / $2,183.94	Facility		$198.34	$853.01	$2,183.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.43 / $928.68 / $1,953.11	Professional		$426.43	$928.68	$1,953.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.10 / $990.36 / $1,744.60	Professional		$555.10	$990.36	$1,744.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.34 / $853.01 / $2,183.94	Facility		$198.34	$853.01	$2,183.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $754.50 / $1,586.00	Professional		$318.98	$754.50	$1,586.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.59 / $823.11 / $1,978.89	Professional		$668.59	$823.11	$1,978.89