Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.85 / $9,577.00 / $14,552.94	Facility		$220.85	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $121.37 / $510.34	Professional		$88.26	$121.37	$510.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $286.00 / $286.00 / $286.00	Professional	50	$286.00	$286.00	$286.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.10 / $246.10 / $288.45	Professional		$246.10	$246.10	$288.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.48 / $119.29 / $729.79	Facility		$96.48	$119.29	$729.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $256.70 / $497.00	Professional		$191.65	$256.70	$497.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.25 / $383.40 / $504.00	Professional		$296.25	$383.40	$504.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $144.32 / $729.79	Facility		$119.29	$144.32	$729.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $381.50 / $533.12	Professional		$105.45	$381.50	$533.12
United Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $230.78 / $698.84	Professional		$146.44	$230.78	$698.84