Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.41 / $9,577.00 / $14,552.94	Facility		$206.41	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $139.02 / $629.52	Professional		$66.43	$139.02	$629.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.56 / $223.38 / $395.60	Professional		$125.56	$223.38	$395.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $377.37 / $539.64 / $881.33	Facility		$377.37	$539.64	$881.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.20 / $295.98 / $381.22	Professional		$168.20	$295.98	$381.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.40 / $313.50 / $669.78	Professional		$170.40	$313.50	$669.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $377.37 / $539.64 / $881.33	Facility		$377.37	$539.64	$881.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.56 / $304.50 / $680.80	Professional		$125.56	$304.50	$680.80
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $316.48 / $477.44	Professional		$134.90	$316.48	$477.44