Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $1,778.28 / $6,606.93	Facility		$0.98	$1,778.28	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,778.28 / $1,862.09 / $2,089.30	Facility	50	$1,778.28	$1,862.09	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $281.84	Professional		$57.54	$97.72	$281.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $223.87 / $338.84	Professional	50	$223.87	$223.87	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $416.87	Professional		$154.88	$239.88	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $371.54 / $1,819.70	Facility		$52.48	$371.54	$1,819.70
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,778.28 / $1,862.09 / $2,089.30	Facility	50	$1,778.28	$1,862.09	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $257.04 / $489.78	Professional		$125.89	$257.04	$489.78
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $97.72 / $109.65 / $223.87	Professional	50	$97.72	$109.65	$223.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $524.81	Professional		$199.53	$331.13	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $141.25 / $457.09	Facility		$61.66	$141.25	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $239.88	Professional		$60.26	$120.23	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $245.47 / $524.81	Professional		$91.20	$245.47	$524.81