Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.57 / $9,577.00 / $14,552.94	Facility		$343.57	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $659.89 / $729.78	Professional		$117.35	$659.89	$729.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.05 / $123.05 / $425.03	Professional		$123.05	$123.05	$425.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.53 / $182.01 / $1,043.58	Facility		$148.53	$182.01	$1,043.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.98 / $389.13 / $701.75	Professional		$295.98	$389.13	$701.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.50 / $544.04 / $677.10	Professional		$432.50	$544.04	$677.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.01 / $200.65 / $1,043.58	Facility		$182.01	$200.65	$1,043.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $569.25 / $792.90	Professional		$123.36	$569.25	$792.90
United Facility/Professional Professional Modifier Low / Median / High Price $152.28 / $340.02 / $1,029.63	Professional		$152.28	$340.02	$1,029.63