Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.19 / $9,577.00 / $14,552.94	Facility		$222.19	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $127.10 / $728.96	Professional		$62.64	$127.10	$728.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.76 / $258.33 / $494.37	Professional		$133.76	$258.33	$494.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $374.89 / $536.09 / $1,020.54	Facility		$374.89	$536.09	$1,020.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.33 / $216.39 / $449.28	Professional		$180.33	$216.39	$449.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.80 / $342.65 / $671.35	Professional		$180.80	$342.65	$671.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $374.89 / $536.09 / $1,020.54	Facility		$374.89	$536.09	$1,020.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.08 / $325.50 / $676.50	Professional		$149.08	$325.50	$676.50
United Facility/Professional Professional Modifier Low / Median / High Price $171.37 / $395.50 / $398.60	Professional		$171.37	$395.50	$398.60