Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.30 / $1,917.37 / $10,900.00	Facility		$659.30	$1,917.37	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $265.99 / $1,184.43	Professional		$99.93	$265.99	$1,184.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.77 / $453.19 / $1,138.05	Professional		$275.77	$453.19	$1,138.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $580.17 / $1,658.20	Facility		$133.72	$580.17	$1,658.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.58 / $627.53 / $1,513.20	Professional		$259.58	$627.53	$1,513.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.25 / $634.00 / $1,412.00	Professional		$401.25	$634.00	$1,412.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $580.17 / $1,658.20	Facility		$133.72	$580.17	$1,658.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.77 / $616.00 / $1,412.00	Professional		$275.77	$616.00	$1,412.00
United Facility/Professional Professional Modifier Low / Median / High Price $642.55 / $969.37 / $1,461.82	Professional		$642.55	$969.37	$1,461.82