Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.39 / $6,541.00 / $13,413.92	Facility		$378.39	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.10 / $236.70 / $625.08	Professional		$124.10	$236.70	$625.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $236.70 / $236.70 / $236.70	Professional	50	$236.70	$236.70	$236.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.66 / $375.38 / $587.10	Professional		$281.66	$375.38	$587.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.10 / $548.19 / $875.11	Facility		$124.10	$548.19	$875.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $291.13 / $402.72 / $817.55	Professional		$291.13	$402.72	$817.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.20 / $589.75 / $762.00	Professional		$420.20	$589.75	$762.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.10 / $548.19 / $875.11	Facility		$124.10	$548.19	$875.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.38 / $576.20 / $785.85	Professional		$243.38	$576.20	$785.85
United Facility/Professional Professional Modifier Low / Median / High Price $338.24 / $510.27 / $769.50	Professional		$338.24	$510.27	$769.50