Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,162.28 / $3,801.89	Facility		$954.99	$3,162.28	$3,801.89
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,890.45 / $5,011.87 / $5,495.41	Facility	50	$3,890.45	$5,011.87	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $239.88 / $660.69	Professional		$107.15	$239.88	$660.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $363.08 / $4,570.88	Professional	50	$338.84	$363.08	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $1,071.52	Professional		$281.84	$467.74	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $602.56 / $3,162.28	Facility		$144.54	$602.56	$3,162.28
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $3,890.45 / $4,265.80 / $5,495.41	Facility	50	$3,890.45	$4,265.80	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $537.03 / $1,230.27	Professional		$245.47	$537.03	$1,230.27
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $426.58 / $4,570.88	Professional	50	$177.83	$426.58	$4,570.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $1,230.27	Professional		$416.87	$645.65	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $331.13 / $776.25	Facility		$123.03	$331.13	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $223.87 / $588.84	Professional		$60.26	$223.87	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $588.84 / $1,174.90	Professional		$223.87	$588.84	$1,174.90