Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.30 / $9,577.00 / $14,552.94	Facility		$373.30	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.37 / $172.86 / $727.43	Professional		$119.37	$172.86	$727.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.41 / $436.41 / $506.01	Professional		$436.41	$436.41	$506.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.15 / $727.43 / $1,018.40	Facility		$157.15	$727.43	$1,018.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $318.63 / $827.40 / $1,036.70	Professional		$318.63	$827.40	$1,036.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.50 / $661.50 / $898.00	Professional		$472.50	$661.50	$898.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.15 / $727.43 / $1,018.40	Facility		$157.15	$727.43	$1,018.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.94 / $567.60 / $906.78	Professional		$229.94	$567.60	$906.78
United Facility/Professional Professional Modifier Low / Median / High Price $404.80 / $404.80 / $1,012.00	Professional		$404.80	$404.80	$1,012.00