Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.20 / $6,541.00 / $13,413.92	Facility		$573.20	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.25 / $228.34 / $1,100.95	Professional		$136.25	$228.34	$1,100.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.40 / $196.40 / $648.62	Professional		$196.40	$196.40	$648.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $198.10 / $246.87 / $1,574.36	Facility		$198.10	$246.87	$1,574.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.20 / $543.59 / $1,064.00	Professional		$392.20	$543.59	$1,064.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.75 / $805.80 / $1,067.45	Professional		$583.75	$805.80	$1,067.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $238.11 / $303.64 / $1,574.36	Facility		$238.11	$303.64	$1,574.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.40 / $772.20 / $1,071.67	Professional		$196.40	$772.20	$1,071.67
United Facility/Professional Professional Modifier Low / Median / High Price $235.06 / $518.90 / $1,571.31	Professional		$235.06	$518.90	$1,571.31