Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $5,888.44 / $14,125.38	Facility		$457.09	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $346.74	Professional		$61.66	$128.82	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $691.83	Professional		$158.49	$269.15	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $223.87 / $794.33	Facility		$74.13	$223.87	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $323.59 / $812.83	Professional		$154.88	$323.59	$812.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $741.31	Professional		$257.04	$407.38	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $194.98 / $457.09	Facility		$74.13	$194.98	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $128.82 / $338.84	Professional		$60.26	$128.82	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $346.74 / $794.33	Professional		$128.82	$346.74	$794.33