Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.75 / $6,541.00 / $13,413.92	Facility		$739.75	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $277.47 / $1,352.42	Professional		$78.36	$277.47	$1,352.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $256.74 / $770.16	Professional		$94.55	$256.74	$770.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.33 / $424.25 / $1,893.39	Facility		$98.33	$424.25	$1,893.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.28 / $634.66 / $1,675.74	Professional		$219.28	$634.66	$1,675.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $597.14 / $1,449.80	Professional		$282.00	$597.14	$1,449.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.33 / $424.25 / $1,893.39	Facility		$98.33	$424.25	$1,893.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $464.00 / $1,292.00	Professional		$175.50	$464.00	$1,292.00
United Facility/Professional Professional Modifier Low / Median / High Price $324.95 / $616.12 / $1,699.47	Professional		$324.95	$616.12	$1,699.47