Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.42 / $5,084.91 / $13,413.92	Facility		$688.42	$5,084.91	$13,413.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,098.06 / $5,098.06 / $5,098.06	Facility	50	$5,098.06	$5,098.06	$5,098.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $239.63 / $1,137.26	Professional		$62.36	$239.63	$1,137.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $4,284.99 / $4,284.99 / $4,284.99	Professional	50	$4,284.99	$4,284.99	$4,284.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.84 / $283.39 / $1,119.79	Professional		$175.84	$283.39	$1,119.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.58 / $368.38 / $1,592.16	Facility		$83.58	$368.38	$1,592.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $525.71 / $1,454.70	Professional		$177.56	$525.71	$1,454.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $411.60 / $1,232.80	Professional		$250.00	$411.60	$1,232.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.58 / $368.38 / $1,592.16	Facility		$83.58	$368.38	$1,592.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.40 / $402.00 / $1,232.80	Professional		$236.40	$402.00	$1,232.80
United Facility/Professional Professional Modifier Low / Median / High Price $463.36 / $699.03 / $1,054.14	Professional		$463.36	$699.03	$1,054.14