Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,664.35 / $7,340.00 / $13,413.92	Facility		$1,664.35	$7,340.00	$13,413.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,109.28 / $2,863.02 / $4,609.27	Facility	50	$2,109.28	$2,863.02	$4,609.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $162.88 / $823.29	Professional		$157.00	$162.88	$823.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.46 / $531.46 / $531.46	Professional		$531.46	$531.46	$531.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $196.69 / $760.21 / $1,087.09	Facility		$196.69	$760.21	$1,087.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $387.35 / $1,005.90 / $1,288.36	Professional		$387.35	$1,005.90	$1,288.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.75 / $694.55 / $998.80	Professional		$598.75	$694.55	$998.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.69 / $760.21 / $1,087.09	Facility		$196.69	$760.21	$1,087.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.60 / $678.00 / $1,016.88	Professional		$216.60	$678.00	$1,016.88
United Facility/Professional Professional Modifier Low / Median / High Price $406.41 / $425.16 / $980.26	Professional		$406.41	$425.16	$980.26