Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.55 / $921.59 / $9,285.00	Facility		$376.55	$921.59	$9,285.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,062.59 / $1,062.59 / $1,366.20	Facility	50	$1,062.59	$1,062.59	$1,366.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $161.63 / $757.52	Professional		$45.03	$161.63	$757.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $1,551.38 / $1,551.38	Professional	50	$371.54	$1,551.38	$1,551.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $167.03 / $602.46	Professional		$77.51	$167.03	$602.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.72 / $177.01 / $889.49	Facility		$63.72	$177.01	$889.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $381.70 / $1,010.85	Professional		$128.29	$381.70	$1,010.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $365.44 / $836.94	Professional		$185.00	$365.44	$836.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.72 / $177.01 / $1,037.80	Facility		$63.72	$177.01	$1,037.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.11 / $274.66 / $742.00	Professional		$123.11	$274.66	$742.00
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.37 / $390.82 / $656.29	Professional		$278.37	$390.82	$656.29