Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.25 / $6,825.52 / $14,552.94	Facility		$284.25	$6,825.52	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.86 / $479.58 / $878.32	Professional		$109.86	$479.58	$878.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.02 / $279.02 / $544.48	Professional		$160.02	$279.02	$544.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $479.58 / $685.80 / $1,171.09	Facility		$479.58	$685.80	$1,171.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $228.05 / $273.66 / $515.28	Professional		$228.05	$273.66	$515.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.10 / $408.90 / $742.34	Professional		$309.10	$408.90	$742.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $479.58 / $685.80 / $1,171.09	Facility		$479.58	$685.80	$1,171.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.84 / $406.50 / $732.00	Professional		$179.84	$406.50	$732.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $435.58 / $657.12	Professional		$185.44	$435.58	$657.12