Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $5,888.44 / $14,125.38	Facility		$331.13	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $537.03 / $1,412.54	Professional		$131.83	$537.03	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $512.86 / $1,862.09	Professional		$128.82	$512.86	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $616.60 / $1,174.90	Facility		$131.83	$616.60	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $741.31 / $1,995.26	Professional		$257.04	$741.31	$1,995.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $794.33 / $2,818.38	Professional		$416.87	$794.33	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $512.86 / $1,174.90	Facility		$125.89	$512.86	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $478.63 / $1,513.56	Professional		$107.15	$478.63	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $676.08 / $1,584.89	Professional		$302.00	$676.08	$1,584.89