Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.26 / $377.26 / $377.26	Professional		$377.26	$377.26	$377.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $128.97 / $246.07	Professional		$128.97	$128.97	$246.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $377.26 / $528.16 / $539.48	Facility		$377.26	$528.16	$539.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $72.81 / $104.03	Professional		$72.81	$72.81	$104.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $319.95 / $345.10	Professional		$172.00	$319.95	$345.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $377.26 / $528.16 / $539.48	Facility		$377.26	$528.16	$539.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $282.10 / $516.46	Professional		$128.97	$282.10	$516.46
United Facility/Professional Professional Modifier Low / Median / High Price $82.45 / $196.86 / $296.98	Professional		$82.45	$196.86	$296.98