Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $19,455.80 / $19,455.80 / $19,568.00	Facility	50	$19,455.80	$19,455.80	$19,568.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.47 / $1,910.08 / $9,921.94	Professional		$343.47	$1,910.08	$9,921.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.08 / $151.49 / $229.56	Professional	50	$55.08	$151.49	$229.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.88 / $1,859.90 / $7,042.55	Professional		$630.88	$1,859.90	$7,042.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $437.89 / $2,111.04 / $3,530.36	Facility		$437.89	$2,111.04	$3,530.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $941.46 / $2,860.33 / $11,930.44	Professional		$941.46	$2,860.33	$11,930.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,370.00 / $2,643.55 / $10,580.00	Professional		$1,370.00	$2,643.55	$10,580.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.89 / $2,111.04 / $13,593.06	Facility		$437.89	$2,111.04	$13,593.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $918.76 / $2,554.55 / $9,786.50	Professional		$918.76	$2,554.55	$9,786.50
United Facility/Professional Facility Modifier Low / Median / High Price $6,791.00 / $6,791.00 / $6,791.00	Facility		$6,791.00	$6,791.00	$6,791.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,459.00 / $4,618.43 / $6,927.66	Professional		$2,459.00	$4,618.43	$6,927.66