Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.26 / $6,541.00 / $13,413.92	Facility		$582.26	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $232.84 / $1,064.47	Professional		$107.30	$232.84	$1,064.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.40 / $237.55 / $650.38	Professional		$119.40	$237.55	$650.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.66 / $523.04 / $1,490.26	Facility		$121.66	$523.04	$1,490.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $261.57 / $614.25 / $1,329.30	Professional		$261.57	$614.25	$1,329.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $616.00 / $1,151.50	Professional		$336.00	$616.00	$1,151.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.66 / $523.04 / $1,490.26	Facility		$121.66	$523.04	$1,490.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.22 / $493.35 / $1,079.09	Professional		$204.22	$493.35	$1,079.09
United Facility/Professional Professional Modifier Low / Median / High Price $252.03 / $465.66 / $1,284.45	Professional		$252.03	$465.66	$1,284.45