Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.33 / $2,699.66 / $3,373.11	Facility		$650.33	$2,699.66	$3,373.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.29 / $258.67 / $585.61	Professional		$82.29	$258.67	$585.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.25 / $364.25 / $698.11	Professional		$364.25	$364.25	$698.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $300.18 / $585.61 / $819.85	Facility		$300.18	$585.61	$819.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $427.77 / $676.05 / $878.87	Professional		$427.77	$676.05	$878.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.30 / $369.20 / $1,212.20	Professional		$163.30	$369.20	$1,212.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $299.14 / $585.61 / $819.85	Facility		$299.14	$585.61	$819.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.30 / $364.25 / $997.20	Professional		$163.30	$364.25	$997.20
United Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $194.72 / $587.72	Professional		$117.26	$194.72	$587.72