Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.10 / $10,900.00 / $14,552.94	Facility		$349.10	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $576.73 / $628.63	Professional		$122.99	$576.73	$628.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.61 / $408.61 / $408.61	Professional		$408.61	$408.61	$408.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.01 / $576.73 / $824.72	Facility		$147.01	$576.73	$824.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $307.30 / $798.00 / $962.72	Professional		$307.30	$798.00	$962.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $559.50 / $822.80	Professional		$475.00	$559.50	$822.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.01 / $576.73 / $824.72	Facility		$147.01	$576.73	$824.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.18 / $550.50 / $854.59	Professional		$177.18	$550.50	$854.59
United Facility/Professional Professional Modifier Low / Median / High Price $323.07 / $493.16 / $763.09	Professional		$323.07	$493.16	$763.09