Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $12,882.50	Facility		$1,659.59	$1,659.59	$12,882.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $63,095.73 / $63,095.73 / $63,095.73	Facility	50	$63,095.73	$63,095.73	$63,095.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $112.20 / $323.59	Professional		$58.88	$112.20	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $501.19	Professional		$138.04	$218.78	$501.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $323.59 / $7,413.10	Facility		$81.28	$323.59	$7,413.10
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $63,095.73 / $63,095.73 / $63,095.73	Facility	50	$63,095.73	$63,095.73	$63,095.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $323.59 / $645.65	Professional		$151.36	$323.59	$645.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $630.96	Professional		$239.88	$363.08	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $131.83 / $549.54	Facility		$64.57	$131.83	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $128.82 / $239.88	Professional		$60.26	$128.82	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $229.09 / $524.81	Professional		$85.11	$229.09	$524.81