Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,230.27 / $9,772.37	Facility		$117.49	$1,230.27	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $398.11	Professional		$77.62	$125.89	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $389.05	Professional		$263.03	$263.03	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $398.11 / $1,288.25	Facility		$75.86	$398.11	$1,288.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $426.58	Professional		$173.78	$275.42	$426.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $524.81	Professional		$208.93	$346.74	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $125.89 / $588.84	Facility		$74.13	$125.89	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $162.18 / $389.05	Professional		$60.26	$162.18	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $316.23	Professional		$147.91	$208.93	$316.23