Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $5,888.44 / $14,125.38	Facility		$218.78	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $426.58 / $1,148.15	Professional		$67.61	$426.58	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $524.81 / $1,778.28	Professional		$85.11	$524.81	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $549.54 / $1,348.96	Facility		$81.28	$549.54	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $588.84 / $2,818.38	Professional		$177.83	$588.84	$2,818.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $562.34 / $3,090.30	Professional		$218.78	$562.34	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $562.34 / $1,348.96	Facility		$93.33	$562.34	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $524.81 / $1,778.28	Professional		$69.18	$524.81	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $537.03 / $1,737.80	Professional		$74.13	$537.03	$1,737.80