Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $9,772.37 / $16,595.87	Facility		$147.91	$9,772.37	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $234.42	Professional		$41.69	$75.86	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $257.04	Professional		$165.96	$165.96	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $104.71 / $371.54	Facility		$54.95	$104.71	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $251.19 / $537.03	Professional		$104.71	$251.19	$537.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $436.52	Professional		$194.98	$309.03	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $234.42 / $524.81	Facility		$79.43	$234.42	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $257.04	Professional		$45.71	$66.07	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $363.08	Professional		$125.89	$204.17	$363.08