Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.41 / $613.79 / $11,709.00	Facility		$286.41	$613.79	$11,709.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $876.15 / $876.15 / $876.15	Facility	50	$876.15	$876.15	$876.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $235.80 / $618.52	Professional		$57.59	$235.80	$618.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $987.00 / $987.00 / $987.00	Professional	50	$987.00	$987.00	$987.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.60 / $212.76 / $483.79	Professional		$121.60	$212.76	$483.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $235.80 / $694.12	Facility		$61.94	$235.80	$694.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $274.75 / $657.15	Professional		$129.01	$274.75	$657.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $414.00 / $710.60	Professional		$196.25	$414.00	$710.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $259.38 / $694.12	Facility		$61.94	$259.38	$694.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.25 / $387.60 / $710.60	Professional		$155.25	$387.60	$710.60
United Facility/Professional Professional Modifier Low / Median / High Price $260.86 / $393.53 / $593.46	Professional		$260.86	$393.53	$593.46