Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.57 / $5,084.91 / $13,413.92	Facility		$323.57	$5,084.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $181.41 / $621.48	Professional		$90.54	$181.41	$621.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $190.73 / $491.00 / $681.05	Professional	50	$190.73	$491.00	$681.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.89 / $317.89 / $333.58	Professional		$317.89	$317.89	$333.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.09 / $137.07 / $888.72	Facility		$112.09	$137.07	$888.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $221.58 / $311.93 / $589.75	Professional		$221.58	$311.93	$589.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.50 / $454.95 / $616.71	Professional		$342.50	$454.95	$616.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $166.48 / $888.72	Facility		$132.91	$166.48	$888.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $460.35 / $653.51	Professional		$134.43	$460.35	$653.51
United Facility/Professional Professional Modifier Low / Median / High Price $253.09 / $266.86 / $400.29	Professional		$253.09	$266.86	$400.29