Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.51 / $10,900.00 / $14,552.94	Facility		$332.51	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $123.91 / $607.90	Professional		$112.02	$123.91	$607.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.02 / $177.66 / $395.07	Professional		$109.02	$177.66	$395.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.55 / $607.90 / $851.06	Facility		$113.55	$607.90	$851.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $272.52 / $417.75 / $773.36	Professional		$272.52	$417.75	$773.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $539.20 / $831.55	Professional		$304.20	$539.20	$831.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.55 / $607.90 / $851.06	Facility		$113.55	$607.90	$851.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.56 / $404.40 / $751.51	Professional		$131.56	$404.40	$751.51
United Facility/Professional Professional Modifier Low / Median / High Price $264.73 / $316.94 / $871.80	Professional		$264.73	$316.94	$871.80