Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $5,084.91 / $11,709.00	Facility		$2,464.00	$5,084.91	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $185.93 / $877.42	Professional		$80.31	$185.93	$877.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,355.34 / $1,355.34 / $1,355.34	Professional	50	$1,355.34	$1,355.34	$1,355.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.04 / $271.04 / $543.39	Professional		$271.04	$271.04	$543.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.09 / $581.79 / $1,228.39	Facility		$95.09	$581.79	$1,228.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.43 / $530.30 / $1,122.10	Professional		$215.43	$530.30	$1,122.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.70 / $608.75 / $968.00	Professional		$299.70	$608.75	$968.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.09 / $581.79 / $1,228.39	Facility		$95.09	$581.79	$1,228.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.28 / $430.98 / $968.00	Professional		$164.28	$430.98	$968.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.81 / $652.08 / $1,086.80	Professional		$256.81	$652.08	$1,086.80