Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $457.09 / $489.78	Facility		$245.47	$457.09	$489.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $512.86 / $524.81 / $912.01	Facility	50	$512.86	$524.81	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $83.18 / $169.82	Professional		$26.92	$83.18	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $389.05	Professional		$74.13	$114.82	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $158.49 / $489.78	Facility		$33.88	$158.49	$489.78
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $95.50 / $524.81 / $977.24	Facility	50	$95.50	$524.81	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $134.90 / $389.05	Professional		$57.54	$134.90	$389.05
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional	50	$1,023.29	$1,023.29	$1,023.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $169.82 / $478.63	Professional		$87.10	$169.82	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $112.20 / $416.87	Facility		$28.18	$112.20	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $74.13 / $208.93	Professional		$38.02	$74.13	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $162.18 / $446.68	Professional		$67.61	$162.18	$446.68