Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.42 / $6,541.00 / $13,413.92	Facility		$408.42	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.29 / $195.74 / $784.43	Professional		$97.29	$195.74	$784.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $420.00 / $420.00 / $482.82	Professional	50	$420.00	$420.00	$482.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.74 / $122.74 / $468.54	Professional		$122.74	$122.74	$468.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.68 / $174.39 / $1,121.73	Facility		$142.68	$174.39	$1,121.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $282.23 / $385.11 / $750.75	Professional		$282.23	$385.11	$750.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $579.15 / $782.55	Professional		$420.00	$579.15	$782.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.91 / $216.53 / $1,121.73	Facility		$173.91	$216.53	$1,121.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $556.04 / $782.55	Professional		$140.32	$556.04	$782.55
United Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $376.42 / $562.26	Professional		$182.00	$376.42	$562.26