Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.31 / $4,806.00 / $11,709.00	Facility		$745.31	$4,806.00	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.57 / $210.49 / $1,068.07	Professional		$109.57	$210.49	$1,068.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.86 / $241.38 / $645.49	Professional		$126.86	$241.38	$645.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.08 / $596.25 / $1,495.30	Facility		$138.08	$596.25	$1,495.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $296.87 / $617.16 / $1,335.60	Professional		$296.87	$617.16	$1,335.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.03 / $644.00 / $1,130.50	Professional		$374.03	$644.00	$1,130.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.69 / $596.25 / $1,495.30	Facility		$135.69	$596.25	$1,495.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $219.59 / $521.00 / $1,050.00	Professional		$219.59	$521.00	$1,050.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.81 / $525.01 / $1,356.88	Professional		$462.81	$525.01	$1,356.88