Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.81 / $383.28 / $764.40	Facility		$180.81	$383.28	$764.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,872.64 / $1,872.64 / $1,872.64	Facility	50	$1,872.64	$1,872.64	$1,872.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $150.40 / $377.15	Professional		$37.17	$150.40	$377.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $149.74 / $288.37	Professional		$95.63	$149.74	$288.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $212.59 / $429.28	Facility		$43.50	$212.59	$429.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $201.84 / $405.60	Professional		$99.48	$201.84	$405.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.75 / $241.80 / $372.00	Professional		$153.75	$241.80	$372.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.90 / $212.59 / $429.28	Facility		$50.90	$212.59	$429.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.14 / $222.30 / $363.36	Professional		$95.14	$222.30	$363.36
United Facility/Professional Professional Modifier Low / Median / High Price $157.68 / $237.88 / $348.65	Professional		$157.68	$237.88	$348.65