Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $14,791.08 / $31,622.78	Facility		$9,120.11	$14,791.08	$31,622.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility	50	$15,135.61	$15,135.61	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $3,801.89	Professional		$1,202.26	$1,778.28	$3,801.89
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $2.29 / $229.09 / $457.09	Professional	AS	$2.29	$229.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,466.84 / $5,495.41	Professional		$3,162.28	$4,466.84	$5,495.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $11,748.98 / $31,622.78	Facility		$1,905.46	$11,748.98	$31,622.78
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $15,135.61 / $18,620.87 / $50,118.72	Facility	50	$15,135.61	$18,620.87	$50,118.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,715.35 / $7,244.36	Professional		$1,659.59	$3,715.35	$7,244.36
Moda Health Facility/Professional Professional Modifier AS Low / Median / High Price $2.29 / $380.19 / $524.81	Professional	AS	$2.29	$380.19	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,248.07 / $7,762.47	Professional		$4,265.80	$5,248.07	$7,762.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $6,918.31	Facility		$1,288.25	$2,344.23	$6,918.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,862.09 / $4,466.84	Professional		$60.26	$1,862.09	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $6,309.57 / $8,128.31	Professional		$1,584.89	$6,309.57	$8,128.31