Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.43 / $4,473.04 / $11,709.00	Facility		$284.43	$4,473.04	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $277.14 / $479.88	Professional		$67.81	$277.14	$479.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.53 / $191.53 / $312.58	Professional		$191.53	$191.53	$312.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.28 / $388.01 / $671.83	Facility		$69.28	$388.01	$671.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $346.50 / $657.25	Professional		$133.43	$346.50	$657.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.05 / $390.00 / $619.94	Professional		$220.05	$390.00	$619.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.28 / $388.01 / $671.83	Facility		$69.28	$388.01	$671.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $359.03 / $694.00	Professional		$114.80	$359.03	$694.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.06 / $377.24 / $710.88	Professional		$250.06	$377.24	$710.88