Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.50 / $6,541.00 / $13,413.92	Facility		$697.50	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $216.08 / $1,124.58	Professional		$153.19	$216.08	$1,124.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.89 / $598.89 / $716.91	Professional		$598.89	$598.89	$716.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.25 / $1,124.58 / $1,574.43	Facility		$225.25	$1,124.58	$1,574.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $453.65 / $1,178.09 / $1,617.11	Professional		$453.65	$1,178.09	$1,617.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.00 / $1,000.48 / $1,225.58	Professional		$735.00	$1,000.48	$1,225.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.25 / $1,124.58 / $1,574.43	Facility		$225.25	$1,124.58	$1,574.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.68 / $917.60 / $1,225.58	Professional		$358.68	$917.60	$1,225.58
United Facility/Professional Professional Modifier Low / Median / High Price $507.92 / $860.28 / $1,168.22	Professional		$507.92	$860.28	$1,168.22