Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,285.00 / $14,552.94	Facility		$2,236.00	$9,285.00	$14,552.94
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,491.26 / $6,083.35 / $8,090.15	Facility	50	$3,491.26	$6,083.35	$8,090.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.61 / $403.79 / $1,686.58	Professional		$390.61	$403.79	$1,686.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $901.98 / $901.98 / $901.98	Professional	50	$901.98	$901.98	$901.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,104.71 / $1,104.71 / $1,104.71	Professional		$1,104.71	$1,104.71	$1,104.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $402.74 / $1,564.08 / $2,236.63	Facility		$402.74	$1,564.08	$2,236.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $781.18 / $2,028.60 / $2,642.06	Professional		$781.18	$2,028.60	$2,642.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,207.50 / $1,400.70 / $2,248.35	Professional		$1,207.50	$1,400.70	$2,248.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $402.74 / $1,564.08 / $2,236.63	Facility		$402.74	$1,564.08	$2,236.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $443.18 / $1,396.50 / $2,211.02	Professional		$443.18	$1,396.50	$2,211.02
United Facility/Professional Professional Modifier Low / Median / High Price $826.53 / $883.76 / $2,027.54	Professional		$826.53	$883.76	$2,027.54