Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.43 / $6,541.00 / $13,413.92	Facility		$721.43	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.59 / $1,098.02 / $1,385.66	Professional		$904.59	$1,098.02	$1,385.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.13 / $167.13 / $791.38	Professional		$167.13	$167.13	$791.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.83 / $308.68 / $1,981.49	Facility		$200.83	$308.68	$1,981.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.68 / $631.15 / $1,141.08	Professional		$398.68	$631.15	$1,141.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.00 / $902.19 / $1,329.40	Professional		$590.00	$902.19	$1,329.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.77 / $388.68 / $1,981.49	Facility		$243.77	$388.68	$1,981.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $224.20 / $819.00 / $1,293.59	Professional		$224.20	$819.00	$1,293.59
United Facility/Professional Professional Modifier Low / Median / High Price $293.42 / $633.10 / $1,917.13	Professional		$293.42	$633.10	$1,917.13