Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,824.71 / $9,577.00 / $28,398.14	Facility		$2,824.71	$9,577.00	$28,398.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,729.25 / $11,108.02 / $22,942.59	Facility	50	$3,729.25	$11,108.02	$22,942.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.69 / $680.08 / $3,235.97	Professional		$383.69	$680.08	$3,235.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.20 / $647.33 / $1,417.82	Professional		$420.20	$647.33	$1,417.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $431.47 / $2,259.77 / $3,231.47	Facility		$431.47	$2,259.77	$3,231.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,069.05 / $1,569.93 / $2,892.34	Professional		$1,069.05	$1,569.93	$2,892.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,127.49 / $2,000.00 / $3,221.40	Professional		$1,127.49	$2,000.00	$3,221.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $431.47 / $2,259.77 / $3,163.68	Facility		$431.47	$2,259.77	$3,163.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $521.41 / $1,551.25 / $2,741.57	Professional		$521.41	$1,551.25	$2,741.57
United Facility/Professional Professional Modifier Low / Median / High Price $990.12 / $1,134.26 / $3,714.70	Professional		$990.12	$1,134.26	$3,714.70