Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.20 / $5,084.91 / $13,413.92	Facility		$230.20	$5,084.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $165.89 / $413.99	Professional		$53.19	$165.89	$413.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $200.00 / $857.64 / $857.64	Professional	50	$200.00	$857.64	$857.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.24 / $194.12 / $352.95	Professional		$142.24	$194.12	$352.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $281.35 / $546.59	Facility		$65.75	$281.35	$546.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.28 / $242.61 / $487.50	Professional		$138.28	$242.61	$487.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.75 / $323.70 / $446.25	Professional		$213.75	$323.70	$446.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $309.49 / $546.59	Facility		$71.37	$309.49	$546.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.50 / $310.00 / $440.00	Professional		$119.50	$310.00	$440.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.20 / $404.40 / $444.84	Professional		$202.20	$404.40	$444.84