Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $12,022.64 / $18,197.01	Facility		$3,890.45	$12,022.64	$18,197.01
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility	50	$8,317.64	$8,317.64	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $1,202.26	Professional		$269.15	$323.59	$1,202.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $363.08 / $707.95 / $741.31	Professional	50	$363.08	$707.95	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $416.87 / $1,819.70	Facility		$295.12	$416.87	$1,819.70
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility	50	$8,317.64	$8,317.64	$8,317.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $724.44 / $1,819.70	Professional		$363.08	$724.44	$1,819.70
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $436.52 / $891.25	Professional	50	$199.53	$436.52	$891.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,698.24	Professional		$1,071.52	$1,071.52	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,288.25 / $1,819.70	Facility		$416.87	$1,288.25	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $257.04 / $912.01	Professional		$60.26	$257.04	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $1,819.70	Professional		$676.08	$724.44	$1,819.70