Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.63 / $6,541.00 / $13,413.92	Facility		$607.63	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $243.48 / $1,110.89	Professional		$112.05	$243.48	$1,110.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.59 / $246.90 / $680.19	Professional		$127.59	$246.90	$680.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.35 / $546.25 / $1,555.25	Facility		$127.35	$546.25	$1,555.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $273.80 / $641.42 / $1,388.10	Professional		$273.80	$641.42	$1,388.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.80 / $669.24 / $1,219.81	Professional		$364.80	$669.24	$1,219.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.35 / $546.25 / $1,555.25	Facility		$127.35	$546.25	$1,555.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.13 / $532.00 / $1,130.80	Professional		$213.13	$532.00	$1,130.80
United Facility/Professional Professional Modifier Low / Median / High Price $447.92 / $505.01 / $1,497.66	Professional		$447.92	$505.01	$1,497.66