Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.52 / $6,541.00 / $13,413.92	Facility		$681.52	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $777.81 / $1,125.86	Professional		$145.04	$777.81	$1,125.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.15 / $594.90 / $1,041.50	Professional		$405.15	$594.90	$1,041.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.05 / $777.81 / $1,576.22	Facility		$154.05	$777.81	$1,576.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.08 / $692.85 / $1,392.30	Professional		$380.08	$692.85	$1,392.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.50 / $884.00 / $1,332.00	Professional		$572.50	$884.00	$1,332.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.93 / $855.59 / $1,576.22	Facility		$200.93	$855.59	$1,576.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.50 / $860.70 / $1,332.00	Professional		$337.50	$860.70	$1,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.91 / $929.18 / $1,401.22	Professional		$615.91	$929.18	$1,401.22