Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.04 / $4,806.00 / $13,413.92	Facility		$210.04	$4,806.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $253.35 / $458.04	Professional		$68.06	$253.35	$458.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $278.00 / $278.00 / $278.00	Professional	50	$278.00	$278.00	$278.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $180.09 / $319.67	Professional		$133.16	$180.09	$319.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.17 / $253.35 / $485.80	Facility		$65.17	$253.35	$485.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $220.29 / $442.65	Professional		$128.58	$220.29	$442.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.75 / $306.45 / $556.70	Professional		$198.75	$306.45	$556.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.17 / $278.69 / $485.80	Facility		$65.17	$278.69	$485.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.58 / $295.23 / $556.70	Professional		$112.58	$295.23	$556.70
United Facility/Professional Professional Modifier Low / Median / High Price $186.04 / $280.66 / $423.24	Professional		$186.04	$280.66	$423.24