Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.91 / $522.26 / $5,084.91	Facility		$248.91	$522.26	$5,084.91
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $643.12 / $643.12 / $643.12	Facility	50	$643.12	$643.12	$643.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $199.13 / $426.76	Professional		$36.45	$199.13	$426.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $95.48 / $480.11 / $866.29	Professional	50	$95.48	$480.11	$866.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.48 / $137.54 / $249.03	Professional		$100.48	$137.54	$249.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.17 / $199.13 / $393.30	Facility		$44.17	$199.13	$393.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.63 / $169.83 / $341.25	Professional		$94.63	$169.83	$341.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.25 / $226.00 / $321.73	Professional		$146.25	$226.00	$321.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.35 / $219.04 / $393.30	Facility		$48.35	$219.04	$393.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.73 / $217.50 / $331.50	Professional		$85.73	$217.50	$331.50
United Facility/Professional Professional Modifier Low / Median / High Price $143.60 / $216.64 / $316.35	Professional		$143.60	$216.64	$316.35