Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,492.63 / $6,543.22 / $13,413.92	Facility		$2,492.63	$6,543.22	$13,413.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,972.85 / $5,972.85 / $5,972.85	Facility	50	$5,972.85	$5,972.85	$5,972.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.47 / $436.73 / $2,332.14	Professional		$378.47	$436.73	$2,332.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,231.97 / $1,231.97 / $1,231.97	Professional		$1,231.97	$1,231.97	$1,231.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.01 / $1,662.46 / $2,377.32	Facility		$446.01	$1,662.46	$2,377.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $849.90 / $2,207.10 / $2,916.29	Professional		$849.90	$2,207.10	$2,916.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,313.75 / $1,523.95 / $2,266.00	Professional		$1,313.75	$1,523.95	$2,266.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.01 / $1,662.46 / $2,377.32	Facility		$446.01	$1,662.46	$2,377.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $487.35 / $1,534.50 / $2,287.98	Professional		$487.35	$1,534.50	$2,287.98
United Facility/Professional Professional Modifier Low / Median / High Price $887.53 / $1,478.37 / $2,282.52	Professional		$887.53	$1,478.37	$2,282.52