Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.10 / $2,091.52 / $9,818.03	Facility		$643.10	$2,091.52	$9,818.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,841.00 / $3,093.86 / $3,253.12	Facility	50	$1,841.00	$3,093.86	$3,253.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $368.80 / $1,053.50	Professional		$98.04	$368.80	$1,053.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $377.48 / $377.48 / $377.48	Professional	50	$377.48	$377.48	$377.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.77 / $446.21 / $825.07	Professional		$268.77	$446.21	$825.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.16 / $565.92 / $1,229.08	Facility		$132.16	$565.92	$1,229.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.53 / $553.00 / $1,123.20	Professional		$255.53	$553.00	$1,123.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $616.00 / $1,076.00	Professional		$395.00	$616.00	$1,076.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.16 / $565.92 / $1,229.08	Facility		$132.16	$565.92	$1,229.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $256.02 / $596.20 / $1,078.73	Professional		$256.02	$596.20	$1,078.73
United Facility/Professional Professional Modifier Low / Median / High Price $481.62 / $726.57 / $1,095.69	Professional		$481.62	$726.57	$1,095.69