Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.55 / $9,761.82 / $11,709.00	Facility		$905.55	$9,761.82	$11,709.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,252.83 / $1,252.83 / $1,252.83	Facility	50	$1,252.83	$1,252.83	$1,252.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $157.49 / $778.87	Professional		$129.33	$157.49	$778.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.71 / $475.71 / $475.71	Professional		$475.71	$475.71	$475.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.67 / $724.44 / $1,035.95	Facility		$180.67	$724.44	$1,035.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.18 / $963.90 / $1,188.79	Professional		$371.18	$963.90	$1,188.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.75 / $665.55 / $924.00	Professional		$573.75	$665.55	$924.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.67 / $724.44 / $1,035.95	Facility		$180.67	$724.44	$1,035.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.45 / $631.50 / $941.06	Professional		$200.45	$631.50	$941.06
United Facility/Professional Professional Modifier Low / Median / High Price $379.20 / $380.56 / $574.11	Professional		$379.20	$380.56	$574.11