Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.50 / $7,340.00 / $13,413.92	Facility		$659.50	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $879.73 / $1,042.99 / $1,197.98	Professional		$879.73	$1,042.99	$1,197.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.07 / $639.07 / $742.96	Professional		$639.07	$639.07	$742.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $235.73 / $1,042.99 / $1,460.19	Facility		$235.73	$1,042.99	$1,460.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $463.38 / $1,203.30 / $1,546.77	Professional		$463.38	$1,203.30	$1,546.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.45 / $1,006.30 / $1,260.00	Professional		$765.45	$1,006.30	$1,260.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.73 / $1,042.99 / $1,460.19	Facility		$235.73	$1,042.99	$1,460.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.08 / $865.00 / $1,280.44	Professional		$343.08	$865.00	$1,280.44
United Facility/Professional Professional Modifier Low / Median / High Price $309.33 / $594.38 / $1,342.69	Professional		$309.33	$594.38	$1,342.69