Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.55 / $1,274.00 / $11,709.00	Facility		$394.55	$1,274.00	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $193.71 / $860.66	Professional		$100.17	$193.71	$860.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.24 / $392.24 / $580.86	Professional		$392.24	$392.24	$580.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $149.72 / $832.10 / $1,204.92	Facility		$149.72	$832.10	$1,204.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $307.30 / $798.00 / $1,187.07	Professional		$307.30	$798.00	$1,187.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.00 / $691.25 / $1,064.00	Professional		$513.00	$691.25	$1,064.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.72 / $832.10 / $1,204.92	Facility		$149.72	$832.10	$1,204.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $661.25 / $1,064.00	Professional		$251.28	$661.25	$1,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.02 / $464.70 / $701.05	Professional		$462.02	$464.70	$701.05