Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.16 / $4,806.00 / $13,413.92	Facility		$644.16	$4,806.00	$13,413.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $966.24 / $966.24 / $966.24	Facility	50	$966.24	$966.24	$966.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $206.16 / $1,087.17	Professional		$76.48	$206.16	$1,087.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.93 / $271.93 / $696.59	Professional		$271.93	$271.93	$696.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $531.48 / $1,522.04	Facility		$97.72	$531.48	$1,522.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $225.12 / $583.85 / $1,518.39	Professional		$225.12	$583.85	$1,518.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.50 / $501.75 / $1,248.68	Professional		$310.50	$501.75	$1,248.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $531.48 / $1,522.04	Facility		$97.72	$531.48	$1,522.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.20 / $500.09 / $1,248.68	Professional		$170.20	$500.09	$1,248.68
United Facility/Professional Professional Modifier Low / Median / High Price $514.50 / $557.28 / $1,183.34	Professional		$514.50	$557.28	$1,183.34