Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.67 / $2,535.91 / $9,577.00	Facility		$549.67	$2,535.91	$9,577.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,242.29 / $3,176.41 / $4,362.53	Facility	50	$2,242.29	$3,176.41	$4,362.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $439.75 / $1,003.98	Professional		$82.95	$439.75	$1,003.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $174.15 / $336.85 / $6,982.50	Professional	50	$174.15	$336.85	$6,982.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.16 / $383.86 / $762.72	Professional		$229.16	$383.86	$762.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.34 / $483.73 / $1,124.47	Facility		$113.34	$483.73	$1,124.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $220.78 / $477.75 / $1,037.40	Professional		$220.78	$477.75	$1,037.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.25 / $542.29 / $976.00	Professional		$341.25	$542.29	$976.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.34 / $483.73 / $1,124.47	Facility		$113.34	$483.73	$1,124.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $520.00 / $980.00	Professional		$195.00	$520.00	$980.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.46 / $435.46 / $990.67	Professional		$435.46	$435.46	$990.67