Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $9,772.37 / $16,595.87	Facility		$302.00	$9,772.37	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $562.34	Professional		$107.15	$154.88	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $380.19	Professional		$77.62	$77.62	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $147.91 / $630.96	Facility		$109.65	$147.91	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $501.19	Professional		$213.80	$302.00	$501.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $616.60	Professional		$380.19	$467.74	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $151.36 / $794.33	Facility		$112.20	$151.36	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $338.84	Professional		$60.26	$97.72	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $812.83	Professional		$131.83	$269.15	$812.83