Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $616.08 / $616.08 / $616.08	Facility	52	$616.08	$616.08	$616.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.43 / $803.46 / $2,663.96	Professional		$385.43	$803.46	$2,663.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,057.28 / $1,432.09 / $1,804.56	Professional		$1,057.28	$1,432.09	$1,804.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.83 / $2,089.79 / $2,925.71	Facility		$398.83	$2,089.79	$2,925.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.48 / $1,240.17 / $2,517.66	Professional		$1,033.48	$1,240.17	$2,517.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,545.00 / $2,127.64 / $2,548.00	Professional		$1,545.00	$2,127.64	$2,548.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.83 / $2,089.79 / $2,925.71	Facility		$398.83	$2,089.79	$2,925.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $641.91 / $2,077.35 / $2,725.80	Professional		$641.91	$2,077.35	$2,725.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.68 / $1,728.38 / $2,520.50	Professional		$1,145.68	$1,728.38	$2,520.50