Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.89 / $9,577.00 / $14,552.94	Facility		$283.89	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $156.72 / $853.04	Professional		$83.70	$156.72	$853.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.31 / $322.45 / $582.07	Professional		$172.31	$322.45	$582.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.99 / $684.96 / $1,194.26	Facility		$478.99	$684.96	$1,194.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $231.28 / $277.52 / $523.04	Professional		$231.28	$277.52	$523.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $424.00 / $781.55	Professional		$232.00	$424.00	$781.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.99 / $684.96 / $1,194.26	Facility		$478.99	$684.96	$1,194.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.23 / $423.00 / $790.50	Professional		$176.23	$423.00	$790.50
United Facility/Professional Professional Modifier Low / Median / High Price $187.31 / $465.66 / $702.50	Professional		$187.31	$465.66	$702.50