Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.33 / $9,577.00 / $14,552.94	Facility		$292.33	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $109.39 / $631.38	Professional		$84.42	$109.39	$631.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $78.19 / $376.98	Professional		$78.19	$78.19	$376.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.31 / $147.61 / $902.87	Facility		$123.31	$147.61	$902.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $244.23 / $333.81 / $602.00	Professional		$244.23	$333.81	$602.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $463.05 / $610.50	Professional		$367.50	$463.05	$610.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.61 / $169.98 / $902.87	Facility		$147.61	$169.98	$902.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.06 / $483.45 / $674.08	Professional		$110.06	$483.45	$674.08
United Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $301.58 / $913.23	Professional		$135.30	$301.58	$913.23