Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.81 / $6,541.00 / $13,413.92	Facility		$275.81	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,611.98 / $7,611.98 / $7,611.98	Facility	50	$7,611.98	$7,611.98	$7,611.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $152.16 / $455.62	Professional		$72.87	$152.16	$455.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.31 / $232.39 / $426.19	Professional		$140.31	$232.39	$426.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.02 / $269.70 / $637.87	Facility		$68.02	$269.70	$637.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $284.33 / $571.35	Professional		$137.66	$284.33	$571.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.25 / $398.25 / $748.60	Professional		$206.25	$398.25	$748.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.02 / $296.67 / $637.87	Facility		$68.02	$296.67	$637.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $368.75 / $748.60	Professional		$157.08	$368.75	$748.60
United Facility/Professional Professional Modifier Low / Median / High Price $231.34 / $350.60 / $526.29	Professional		$231.34	$350.60	$526.29