Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.40 / $1,296.76 / $10,900.00	Facility		$250.40	$1,296.76	$10,900.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $95.33 / $623.45 / $623.45	Facility	52	$95.33	$623.45	$623.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $203.52 / $830.72	Professional		$75.06	$203.52	$830.72
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $155.38 / $204.92 / $520.59	Professional	52	$155.38	$204.92	$520.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.14 / $216.14 / $585.32	Professional		$216.14	$216.14	$585.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $435.06 / $1,163.01	Facility		$79.86	$435.06	$1,163.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $187.29 / $460.13 / $1,194.90	Professional		$187.29	$460.13	$1,194.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.55 / $711.25 / $1,194.00	Professional		$260.55	$711.25	$1,194.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $435.06 / $1,163.01	Facility		$79.86	$435.06	$1,163.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.82 / $406.11 / $1,194.00	Professional		$142.82	$406.11	$1,194.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.02 / $489.75 / $1,170.65	Professional		$456.02	$489.75	$1,170.65