Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $12,022.64 / $16,595.87	Facility		$707.95	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $707.95	Professional		$204.17	$281.84	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $794.33	Professional		$223.87	$323.59	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $338.84 / $933.25	Facility		$234.42	$338.84	$933.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,380.38	Professional		$489.78	$724.44	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $933.25 / $1,380.38	Professional		$575.44	$933.25	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $363.08 / $933.25	Facility		$263.03	$363.08	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $331.13 / $794.33	Professional		$60.26	$331.13	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $645.65 / $1,548.82	Professional		$218.78	$645.65	$1,548.82