Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.49 / $6,806.72 / $12,898.00	Facility		$331.49	$6,806.72	$12,898.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $62,790.21 / $62,790.21 / $62,790.21	Facility	50	$62,790.21	$62,790.21	$62,790.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $321.17 / $1,020.75	Professional		$57.34	$321.17	$1,020.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $220.53 / $503.72	Professional		$139.00	$220.53	$503.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.73 / $353.29 / $766.67	Facility		$64.73	$353.29	$766.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.83 / $332.50 / $685.56	Professional		$156.83	$332.50	$685.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.50 / $382.00 / $657.40	Professional		$237.50	$382.00	$657.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.73 / $353.29 / $766.67	Facility		$64.73	$353.29	$766.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.25 / $361.00 / $657.40	Professional		$143.25	$361.00	$657.40
United Facility/Professional Professional Modifier Low / Median / High Price $154.57 / $316.10 / $526.71	Professional		$154.57	$316.10	$526.71