Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.70 / $1,452.37 / $10,900.00	Facility		$524.70	$1,452.37	$10,900.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $918.88 / $2,036.96 / $4,289.66	Facility	50	$918.88	$2,036.96	$4,289.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $419.76 / $943.48	Professional		$70.66	$419.76	$943.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $129.30 / $218.34 / $3,639.00	Professional	50	$129.30	$218.34	$3,639.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.92 / $352.72 / $705.35	Professional		$212.92	$352.72	$705.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.50 / $419.76 / $1,073.88	Facility		$84.50	$419.76	$1,073.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.18 / $420.40 / $959.40	Professional		$202.18	$420.40	$959.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.50 / $494.00 / $908.11	Professional		$312.50	$494.00	$908.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $461.74 / $1,073.88	Facility		$104.69	$461.74	$1,073.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.92 / $469.95 / $906.00	Professional		$212.92	$469.95	$906.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.52 / $714.91 / $898.74	Professional		$408.52	$714.91	$898.74