Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $9,549.93 / $16,595.87	Facility		$478.63	$9,549.93	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $776.25	Professional		$120.23	$204.17	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $1,096.48	Facility		$128.82	$151.36	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $416.87 / $588.84	Professional		$389.05	$416.87	$588.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $616.60 / $660.69	Professional		$331.13	$616.60	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $204.17 / $1,096.48	Facility		$128.82	$204.17	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $204.17 / $537.03	Professional		$60.26	$204.17	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $645.65	Professional		$338.84	$426.58	$645.65