Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.12 / $998.87 / $9,577.00	Facility		$411.12	$998.87	$9,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $206.18 / $1,071.45	Professional		$61.38	$206.18	$1,071.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,592.73 / $2,592.73 / $2,592.73	Professional	50	$2,592.73	$2,592.73	$2,592.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $226.87 / $860.11	Professional		$107.48	$226.87	$860.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.07 / $249.36 / $497.85	Facility		$86.07	$249.36	$497.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.97 / $536.15 / $1,428.19	Professional		$175.97	$536.15	$1,428.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.75 / $505.00 / $1,196.73	Professional		$253.75	$505.00	$1,196.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.07 / $249.36 / $1,467.89	Facility		$86.07	$249.36	$1,467.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.34 / $375.59 / $1,068.00	Professional		$168.34	$375.59	$1,068.00
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 $361.73 / $533.48 / $804.81	Professional		$361.73	$533.48	$804.81