Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,162.28 / $14,125.38	Facility		$575.44	$3,162.28	$14,125.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility	50	$1,584.89	$1,584.89	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $1,412.54	Professional		$275.42	$407.38	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,202.26	Professional		$954.99	$954.99	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $575.44 / $3,162.28	Facility		$316.23	$575.44	$3,162.28
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility	50	$1,584.89	$1,584.89	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $954.99 / $2,511.89	Professional		$489.78	$954.99	$2,511.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,089.30	Professional		$1,174.90	$1,548.82	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,412.54 / $2,570.40	Facility		$489.78	$1,412.54	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $363.08 / $1,202.26	Professional		$60.26	$363.08	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $977.24 / $1,479.11	Professional		$501.19	$977.24	$1,479.11