Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $6,606.93 / $16,595.87	Facility		$467.74	$6,606.93	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $741.31	Professional		$158.49	$190.55	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $245.47 / $1,047.13	Facility		$173.78	$245.47	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $1,071.52	Professional		$338.84	$436.52	$1,071.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $912.01	Professional		$630.96	$630.96	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $741.31 / $1,071.52	Facility		$245.47	$741.31	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $147.91 / $524.81	Professional		$60.26	$147.91	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $954.99	Professional		$398.11	$416.87	$954.99