Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.87 / $6,541.00 / $13,413.92	Facility		$618.87	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.62 / $247.64 / $1,131.42	Professional		$113.62	$247.64	$1,131.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $263.25 / $692.06	Professional		$128.88	$263.25	$692.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.32 / $552.86 / $1,583.99	Facility		$128.32	$552.86	$1,583.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.91 / $655.98 / $1,419.60	Professional		$275.91	$655.98	$1,419.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.40 / $675.40 / $1,240.75	Professional		$368.40	$675.40	$1,240.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.32 / $552.86 / $1,583.99	Facility		$128.32	$552.86	$1,583.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.77 / $529.65 / $1,159.20	Professional		$215.77	$529.65	$1,159.20
United Facility/Professional Professional Modifier Low / Median / High Price $269.54 / $515.01 / $1,411.00	Professional		$269.54	$515.01	$1,411.00