Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.49 / $9,577.00 / $14,552.94	Facility		$215.49	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $363.58 / $697.66	Professional		$74.31	$363.58	$697.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.67 / $258.20 / $486.18	Professional		$126.67	$258.20	$486.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.58 / $519.91 / $976.72	Facility		$363.58	$519.91	$976.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.58 / $206.15 / $417.27	Professional		$166.58	$206.15	$417.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.60 / $321.00 / $623.50	Professional		$169.60	$321.00	$623.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.58 / $519.91 / $976.72	Facility		$363.58	$519.91	$976.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $316.50 / $655.50	Professional		$139.19	$316.50	$655.50
United Facility/Professional Professional Modifier Low / Median / High Price $166.06 / $382.76 / $388.94	Professional		$166.06	$382.76	$388.94