Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $9,772.37 / $16,595.87	Facility		$389.05	$9,772.37	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $616.60	Professional		$107.15	$162.18	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $501.19	Professional		$436.52	$436.52	$501.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $870.96	Facility		$144.54	$208.93	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $1,047.13	Professional		$251.19	$478.63	$1,047.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $870.96	Professional		$416.87	$562.34	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $616.60 / $1,023.29	Facility		$204.17	$616.60	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $147.91 / $501.19	Professional		$60.26	$147.91	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $977.24	Professional		$338.84	$407.38	$977.24