Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.51 / $6,541.00 / $13,413.92	Facility		$618.51	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,465.39 / $4,465.39 / $4,465.39	Facility	50	$4,465.39	$4,465.39	$4,465.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $405.30 / $1,021.75	Professional		$74.98	$405.30	$1,021.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.96 / $346.89 / $989.49	Professional		$203.96	$346.89	$989.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.19 / $567.41 / $1,461.10	Facility		$97.19	$567.41	$1,461.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.17 / $543.42 / $1,310.40	Professional		$199.17	$543.42	$1,310.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.50 / $458.00 / $1,212.75	Professional		$307.50	$458.00	$1,212.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.19 / $445.83 / $1,430.45	Facility		$97.19	$445.83	$1,430.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.19 / $466.05 / $1,212.75	Professional		$220.19	$466.05	$1,212.75
United Facility/Professional Professional Modifier Low / Median / High Price $520.34 / $784.99 / $1,183.77	Professional		$520.34	$784.99	$1,183.77