Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.76 / $4,806.00 / $13,413.92	Facility		$973.76	$4,806.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.78 / $365.59 / $1,780.22	Professional		$225.78	$365.59	$1,780.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.43 / $481.73 / $1,086.30	Professional		$257.43	$481.73	$1,086.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $1,200.11 / $2,492.31	Facility		$277.45	$1,200.11	$2,492.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $596.54 / $1,120.74 / $2,244.90	Professional		$596.54	$1,120.74	$2,244.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.40 / $1,281.15 / $1,956.27	Professional		$719.40	$1,281.15	$1,956.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $1,200.11 / $2,492.31	Facility		$277.45	$1,200.11	$2,492.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $370.44 / $1,002.85 / $1,898.00	Professional		$370.44	$1,002.85	$1,898.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.22 / $911.60 / $2,397.11	Professional		$445.22	$911.60	$2,397.11