Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.83 / $6,541.00 / $13,413.92	Facility		$746.83	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $280.91 / $1,365.34	Professional		$75.98	$280.91	$1,365.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $252.41 / $770.89	Professional		$88.93	$252.41	$770.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.67 / $398.49 / $1,911.48	Facility		$92.67	$398.49	$1,911.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.65 / $605.15 / $1,707.37	Professional		$206.65	$605.15	$1,707.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $562.59 / $1,436.60	Professional		$264.00	$562.59	$1,436.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.67 / $398.49 / $1,911.48	Facility		$92.67	$398.49	$1,911.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $440.00 / $1,302.00	Professional		$165.00	$440.00	$1,302.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.36 / $616.70 / $1,480.08	Professional		$552.36	$616.70	$1,480.08