Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $4,677.35 / $14,125.38	Facility		$281.84	$4,677.35	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $117.49 / $281.84	Professional		$58.88	$117.49	$281.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $416.87	Professional		$151.36	$239.88	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $194.98 / $501.19	Facility		$69.18	$194.98	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $501.19	Professional		$131.83	$263.03	$501.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $562.34	Professional		$234.42	$371.54	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $158.49 / $416.87	Facility		$64.57	$158.49	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $239.88	Professional		$60.26	$120.23	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $257.04 / $588.84	Professional		$95.50	$257.04	$588.84