Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $9,772.37	Facility		$1,819.70	$2,818.38	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,019.95 / $3,090.30 / $3,235.94	Facility	50	$3,019.95	$3,090.30	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $512.86	Professional		$102.33	$194.98	$512.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $380.19 / $398.11 / $398.11	Professional	50	$380.19	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $831.76	Professional		$269.15	$446.68	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $870.96 / $3,890.45	Facility		$131.83	$870.96	$3,890.45
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,862.09 / $3,019.95 / $3,235.94	Facility	50	$1,862.09	$3,019.95	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $489.78 / $954.99	Professional		$234.42	$489.78	$954.99
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $380.19 / $588.84	Professional	50	$208.93	$380.19	$588.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $1,047.13	Professional		$380.19	$602.56	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $275.42 / $870.96	Facility		$114.82	$275.42	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $213.80 / $467.74	Professional		$60.26	$213.80	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $478.63 / $954.99	Professional		$177.83	$478.63	$954.99