Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $6,309.57 / $16,595.87	Facility		$3,019.95	$6,309.57	$16,595.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Facility	50	$18,620.87	$18,620.87	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $2,951.21	Professional		$524.81	$741.31	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,548.13 / $10,232.93	Facility		$776.25	$3,548.13	$10,232.93
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Facility	50	$18,620.87	$18,620.87	$18,620.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,905.46 / $5,248.07	Professional		$676.08	$1,905.46	$5,248.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,715.35	Professional		$2,691.53	$2,691.53	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $4,570.88	Facility		$851.14	$3,162.28	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $630.96 / $2,187.76	Professional		$60.26	$630.96	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,737.80 / $4,365.16	Professional		$724.44	$1,737.80	$4,365.16