Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.66 / $7,340.00 / $13,413.92	Facility		$721.66	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.96 / $919.60 / $1,192.18	Professional		$177.96	$919.60	$1,192.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.69 / $636.95 / $1,099.10	Professional		$477.69	$636.95	$1,099.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.19 / $919.60 / $1,669.05	Facility		$192.19	$919.60	$1,669.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $470.65 / $752.07 / $1,511.25	Professional		$470.65	$752.07	$1,511.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.75 / $1,040.84 / $1,358.00	Professional		$683.75	$1,040.84	$1,358.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.55 / $1,011.56 / $1,669.05	Facility		$239.55	$1,011.56	$1,669.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $391.88 / $1,001.00 / $1,358.00	Professional		$391.88	$1,001.00	$1,358.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.60 / $951.33 / $1,434.62	Professional		$630.60	$951.33	$1,434.62