Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.48 / $3,249.15 / $9,285.00	Facility		$319.48	$3,249.15	$9,285.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.98 / $1,686.17 / $3,393.07	Facility	50	$0.98	$1,686.17	$3,393.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $255.42 / $518.97	Professional		$47.13	$255.42	$518.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $76.61 / $2,853.00 / $3,804.00	Professional	50	$76.61	$2,853.00	$3,804.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $216.97 / $390.37	Professional		$133.91	$216.97	$390.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.77 / $281.14 / $590.70	Facility		$63.77	$281.14	$590.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.93 / $263.94 / $530.40	Professional		$122.93	$263.94	$530.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.25 / $300.00 / $494.00	Professional		$186.25	$300.00	$494.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.77 / $281.14 / $590.70	Facility		$63.77	$281.14	$590.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.75 / $285.95 / $494.00	Professional		$111.75	$285.95	$494.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.77 / $345.11 / $520.42	Professional		$134.77	$345.11	$520.42