Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.79 / $6,541.00 / $13,413.92	Facility		$646.79	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $527.21 / $1,242.31	Professional		$94.23	$527.21	$1,242.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $109.51 / $706.98	Professional		$109.51	$109.51	$706.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.52 / $281.08 / $1,776.50	Facility		$118.52	$281.08	$1,776.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.13 / $556.21 / $905.45	Professional		$236.13	$556.21	$905.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.00 / $625.50 / $1,244.40	Professional		$365.00	$625.50	$1,244.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.02 / $364.43 / $1,776.50	Facility		$146.02	$364.43	$1,776.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.69 / $514.29 / $1,204.50	Professional		$174.69	$514.29	$1,204.50
United Facility/Professional Professional Modifier Low / Median / High Price $292.36 / $565.58 / $1,712.67	Professional		$292.36	$565.58	$1,712.67