Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.12 / $1,128.97 / $9,577.00	Facility		$749.12	$1,128.97	$9,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.68 / $443.65 / $903.18	Professional		$146.68	$443.65	$903.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.27 / $266.23 / $498.38	Professional		$175.27	$266.23	$498.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $599.29 / $857.00 / $1,264.45	Facility		$599.29	$857.00	$1,264.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $248.25 / $297.89 / $465.78	Professional		$248.25	$297.89	$465.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.90 / $438.00 / $671.04	Professional		$328.90	$438.00	$671.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.29 / $857.00 / $1,264.45	Facility		$599.29	$857.00	$1,264.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $396.90 / $692.58	Professional		$191.36	$396.90	$692.58
United Facility/Professional Professional Modifier Low / Median / High Price $169.10 / $398.70 / $601.48	Professional		$169.10	$398.70	$601.48