Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.08 / $6,414.85 / $11,709.00	Facility		$692.08	$6,414.85	$11,709.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $196.26 / $196.26 / $346.04	Facility	52	$196.26	$196.26	$346.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $328.82 / $1,290.27	Professional		$139.61	$328.82	$1,290.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.36 / $458.36 / $771.06	Professional		$458.36	$458.36	$771.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.07 / $895.73 / $1,579.27	Facility		$166.07	$895.73	$1,579.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $324.89 / $819.00 / $1,619.81	Professional		$324.89	$819.00	$1,619.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.50 / $855.00 / $1,509.20	Professional		$526.50	$855.00	$1,509.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.07 / $895.73 / $1,579.27	Facility		$166.07	$895.73	$1,579.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.24 / $729.20 / $1,525.32	Professional		$276.24	$729.20	$1,525.32
United Facility/Professional Professional Modifier Low / Median / High Price $600.71 / $616.84 / $1,411.10	Professional		$600.71	$616.84	$1,411.10