Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.74 / $370.74 / $1,057.83	Facility		$293.74	$370.74	$1,057.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,425.10 / $1,425.10 / $1,425.10	Facility	50	$1,425.10	$1,425.10	$1,425.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $142.54 / $628.79	Professional		$92.09	$142.54	$628.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.23 / $348.84 / $550.82	Professional		$255.23	$348.84	$550.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.36 / $498.19 / $880.31	Facility		$118.36	$498.19	$880.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $238.55 / $377.49 / $758.55	Professional		$238.55	$377.49	$758.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.75 / $550.72 / $748.00	Professional		$368.75	$550.72	$748.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.36 / $534.47 / $880.31	Facility		$118.36	$534.47	$880.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.28 / $547.60 / $778.00	Professional		$201.28	$547.60	$778.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.78 / $515.97 / $752.44	Professional		$186.78	$515.97	$752.44