Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.35 / $5,084.91 / $13,413.92	Facility		$375.35	$5,084.91	$13,413.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,357.81 / $4,357.81 / $4,357.81	Facility	50	$4,357.81	$4,357.81	$4,357.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $168.66 / $620.08	Professional		$94.50	$168.66	$620.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $168.66 / $168.66 / $381.00	Professional	50	$168.66	$168.66	$381.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.49 / $349.67 / $583.28	Professional		$259.49	$349.67	$583.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.09 / $527.07 / $868.11	Facility		$126.09	$527.07	$868.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.27 / $406.59 / $817.05	Professional		$269.27	$406.59	$817.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $565.65 / $748.00	Professional		$397.50	$565.65	$748.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.09 / $527.07 / $868.11	Facility		$126.09	$527.07	$868.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.44 / $565.25 / $759.22	Professional		$223.44	$565.25	$759.22
United Facility/Professional Professional Modifier Low / Median / High Price $334.62 / $504.81 / $761.26	Professional		$334.62	$504.81	$761.26