Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.80 / $5,084.91 / $13,413.92	Facility		$260.80	$5,084.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $332.98 / $430.83	Professional		$61.18	$332.98	$430.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $995.11 / $995.11 / $1,058.61	Professional	50	$995.11	$995.11	$1,058.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.60 / $234.37 / $387.46	Professional		$171.60	$234.37	$387.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.64 / $366.21 / $603.16	Facility		$82.64	$366.21	$603.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $266.85 / $536.25	Professional		$164.98	$266.85	$536.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $368.55 / $488.00	Professional		$245.00	$368.55	$488.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.64 / $366.21 / $603.16	Facility		$82.64	$366.21	$603.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.51 / $344.75 / $488.00	Professional		$136.51	$344.75	$488.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.73 / $351.02 / $529.35	Professional		$116.73	$351.02	$529.35