Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.07 / $5,076.00 / $11,910.40	Facility		$2,290.07	$5,076.00	$11,910.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $129.27 / $632.00	Professional		$58.64	$129.27	$632.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.89 / $278.82 / $583.55	Professional		$166.89	$278.82	$583.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.08 / $355.23 / $884.80	Facility		$77.08	$355.23	$884.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.20 / $364.00 / $778.05	Professional		$168.20	$364.00	$778.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.10 / $380.64 / $674.00	Professional		$243.10	$380.64	$674.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.08 / $390.75 / $884.80	Facility		$77.08	$390.75	$884.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.55 / $358.80 / $664.95	Professional		$160.55	$358.80	$664.95
United Facility/Professional Professional Modifier Low / Median / High Price $293.44 / $293.44 / $667.58	Professional		$293.44	$293.44	$667.58