Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,888.44 / $14,125.38	Facility		$912.01	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $1,445.44	Professional		$257.04	$380.19	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,258.93	Professional		$1,023.29	$1,023.29	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $501.19 / $2,089.30	Facility		$338.84	$501.19	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $2,511.89	Professional		$691.83	$1,174.90	$2,511.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,137.96	Professional		$977.24	$1,348.96	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,445.44 / $2,454.71	Facility		$478.63	$1,445.44	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $371.54 / $1,258.93	Professional		$60.26	$371.54	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $2,290.87	Professional		$794.33	$1,000.00	$2,290.87