Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,265.80 / $8,709.64	Facility		$1,698.24	$4,265.80	$8,709.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,041.74 / $8,128.31 / $25,703.96	Facility	50	$2,041.74	$8,128.31	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $851.14	Professional		$208.93	$346.74	$851.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $707.95 / $707.95 / $7,244.36	Professional	50	$707.95	$707.95	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $891.25	Professional		$602.56	$602.56	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $851.14 / $4,265.80	Facility		$204.17	$851.14	$4,265.80
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $6,309.57 / $25,703.96	Facility	50	$794.33	$6,309.57	$25,703.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $812.83 / $1,905.46	Professional		$380.19	$812.83	$1,905.46
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $1,698.24 / $7,244.36	Professional	50	$141.25	$1,698.24	$7,244.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,621.81	Professional		$724.44	$1,122.02	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $851.14 / $1,905.46	Facility		$346.74	$851.14	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $245.47 / $891.25	Professional		$60.26	$245.47	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,621.81	Professional		$467.74	$724.44	$1,621.81