Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.27 / $9,577.00 / $14,552.94	Facility		$246.27	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.89 / $129.22 / $606.32	Professional		$81.89	$129.22	$606.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.41 / $276.41 / $353.07	Professional		$276.41	$276.41	$353.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.38 / $606.32 / $848.85	Facility		$106.38	$606.32	$848.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.73 / $562.79 / $758.67	Professional		$216.73	$562.79	$758.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.40 / $476.55 / $624.00	Professional		$356.40	$476.55	$624.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.38 / $606.32 / $848.85	Facility		$106.38	$606.32	$848.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $424.05 / $609.91	Professional		$168.28	$424.05	$609.91
United Facility/Professional Professional Modifier Low / Median / High Price $278.00 / $426.12 / $919.08	Professional		$278.00	$426.12	$919.08