Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.80 / $6,541.00 / $13,413.92	Facility		$730.80	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $641.41 / $1,403.65	Professional		$411.98	$641.41	$1,403.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.52 / $99.52 / $786.26	Professional		$99.52	$99.52	$786.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.18 / $309.08 / $2,007.22	Facility		$140.18	$309.08	$2,007.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $277.38 / $615.95 / $1,002.72	Professional		$277.38	$615.95	$1,002.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.75 / $627.69 / $1,291.30	Professional		$428.75	$627.69	$1,291.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.95 / $397.90 / $2,007.22	Facility		$170.95	$397.90	$2,007.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.60 / $578.00 / $1,349.70	Professional		$188.60	$578.00	$1,349.70
United Facility/Professional Professional Modifier Low / Median / High Price $310.93 / $629.00 / $1,904.71	Professional		$310.93	$629.00	$1,904.71