Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.51 / $1,110.33 / $9,285.00	Facility		$298.51	$1,110.33	$9,285.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $658.66 / $658.66 / $658.66	Facility	50	$658.66	$658.66	$658.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $225.22 / $570.57	Professional		$55.79	$225.22	$570.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $211.13 / $211.13 / $276.00	Professional	50	$211.13	$211.13	$276.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.30 / $237.79 / $430.49	Professional		$153.30	$237.79	$430.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $332.01 / $665.67	Facility		$74.83	$332.01	$665.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $289.17 / $581.10	Professional		$143.13	$289.17	$581.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.25 / $352.00 / $531.92	Professional		$221.25	$352.00	$531.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $332.01 / $665.67	Facility		$74.83	$332.01	$665.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $336.30 / $516.25	Professional		$132.00	$336.30	$516.25
United Facility/Professional Professional Modifier Low / Median / High Price $242.30 / $424.03 / $533.05	Professional		$242.30	$424.03	$533.05