Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $14,596.00 / $14,596.00 / $14,596.00	Facility	50	$14,596.00	$14,596.00	$14,596.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.79 / $1,576.59 / $6,164.61	Professional		$418.79	$1,576.59	$6,164.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.08 / $1,331.47 / $4,380.57	Professional		$478.08	$1,331.47	$4,380.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.47 / $1,298.60 / $2,414.55	Facility		$346.47	$1,298.60	$2,414.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $732.52 / $2,272.79 / $7,391.73	Professional		$732.52	$2,272.79	$7,391.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,056.25 / $2,052.50 / $6,738.66	Professional		$1,056.25	$2,052.50	$6,738.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.47 / $1,298.60 / $8,445.52	Facility		$346.47	$1,298.60	$8,445.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $712.33 / $1,649.68 / $6,035.70	Professional		$712.33	$1,649.68	$6,035.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,774.00 / $4,774.00 / $4,774.00	Facility		$4,774.00	$4,774.00	$4,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,023.00 / $2,976.08 / $4,464.12	Professional		$2,023.00	$2,976.08	$4,464.12