Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.57 / $9,285.00 / $13,413.92	Facility		$377.57	$9,285.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $114.18 / $637.04	Professional		$54.18	$114.18	$637.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.26 / $209.19 / $434.13	Professional		$108.26	$209.19	$434.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $300.11 / $429.16 / $891.86	Facility		$300.11	$429.16	$891.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $186.44 / $394.95	Professional		$144.75	$186.44	$394.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $289.80 / $590.15	Professional		$145.60	$289.80	$590.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.11 / $429.16 / $891.86	Facility		$300.11	$429.16	$891.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $264.32 / $598.50	Professional		$122.50	$264.32	$598.50
United Facility/Professional Professional Modifier Low / Median / High Price $151.62 / $347.30 / $348.64	Professional		$151.62	$347.30	$348.64