Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.09 / $5,328.00 / $11,709.00	Facility		$719.09	$5,328.00	$11,709.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.46 / $20,763.80 / $20,763.80	Facility	50	$0.46	$20,763.80	$20,763.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.44 / $339.95 / $1,172.08	Professional		$176.44	$339.95	$1,172.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $878.00 / $878.00 / $878.00	Professional	50	$878.00	$878.00	$878.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.13 / $533.13 / $802.45	Professional		$533.13	$533.13	$802.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.96 / $1,069.38 / $1,640.93	Facility		$197.96	$1,069.38	$1,640.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $390.58 / $1,014.30 / $1,671.60	Professional		$390.58	$1,014.30	$1,671.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.65 / $995.00 / $1,474.00	Professional		$646.65	$995.00	$1,474.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.96 / $1,069.38 / $1,640.93	Facility		$197.96	$1,069.38	$1,640.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.79 / $843.60 / $1,474.00	Professional		$335.79	$843.60	$1,474.00
United Facility/Professional Professional Modifier Low / Median / High Price $625.17 / $658.34 / $1,514.18	Professional		$625.17	$658.34	$1,514.18