Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,677.35 / $14,125.38	Facility		$100.00	$4,677.35	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $77.62 / $190.55	Professional		$23.44	$77.62	$190.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	50	$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $141.25	Professional		$64.57	$89.13	$141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $158.49 / $416.87	Facility		$30.90	$158.49	$416.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $181.97	Professional		$56.23	$104.71	$181.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $602.56	Professional		$100.00	$134.90	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $151.36 / $416.87	Facility		$26.30	$151.36	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $147.91	Professional		$60.26	$85.11	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $134.90 / $281.84	Professional		$61.66	$134.90	$281.84