Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.48 / $813.00 / $10,900.00	Facility		$172.48	$813.00	$10,900.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $773.98 / $773.98 / $773.98	Facility	50	$773.98	$773.98	$773.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $168.17 / $698.45	Professional		$53.85	$168.17	$698.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.92 / $195.92 / $443.05	Professional		$195.92	$195.92	$443.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.15 / $386.97 / $977.83	Facility		$71.15	$386.97	$977.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.01 / $395.29 / $981.26	Professional		$164.01	$395.29	$981.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.15 / $466.38 / $786.92	Professional		$228.15	$466.38	$786.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.15 / $386.97 / $977.83	Facility		$71.15	$386.97	$977.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.06 / $341.53 / $786.92	Professional		$125.06	$341.53	$786.92
United Facility/Professional Professional Modifier Low / Median / High Price $336.86 / $354.44 / $774.78	Professional		$336.86	$354.44	$774.78