Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,230.27 / $5,888.44	Facility		$489.78	$1,230.27	$5,888.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,412.54 / $1,412.54 / $1,905.46	Facility	50	$1,412.54	$1,412.54	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $218.78	Professional		$48.98	$89.13	$218.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $323.59 / $323.59	Professional	50	$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $389.05	Professional		$134.90	$218.78	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $323.59 / $2,511.89	Facility		$47.86	$323.59	$2,511.89
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $0.98 / $0.98 / $1,905.46	Facility	50	$0.98	$0.98	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $245.47 / $467.74	Professional		$112.20	$245.47	$467.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $489.78	Professional		$181.97	$288.40	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $131.83 / $426.58	Facility		$54.95	$131.83	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $223.87	Professional		$60.26	$104.71	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $229.09 / $457.09	Professional		$85.11	$229.09	$457.09