Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.76 / $9,577.00 / $14,552.94	Facility		$297.76	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.40 / $546.51 / $686.57	Professional		$502.40	$546.51	$686.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.80 / $223.37 / $462.47	Professional		$164.80	$223.37	$462.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $502.40 / $703.36 / $961.20	Facility		$502.40	$703.36	$961.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $247.45 / $296.94 / $426.96	Professional		$247.45	$296.94	$426.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.53 / $427.79 / $615.12	Professional		$245.53	$427.79	$615.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $502.40 / $703.36 / $961.20	Facility		$502.40	$703.36	$961.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.55 / $361.40 / $661.64	Professional		$179.55	$361.40	$661.64
United Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $369.98 / $558.15	Professional		$156.94	$369.98	$558.15