Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.46 / $6,479.00 / $11,709.00	Facility		$714.46	$6,479.00	$11,709.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $201.11 / $201.11 / $357.23	Facility	52	$201.11	$201.11	$357.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $311.98 / $1,164.52	Professional		$141.12	$311.98	$1,164.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.53 / $471.53 / $803.39	Professional		$471.53	$471.53	$803.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.62 / $917.83 / $1,630.33	Facility		$169.62	$917.83	$1,630.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $337.25 / $827.40 / $1,664.69	Professional		$337.25	$827.40	$1,664.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.20 / $860.78 / $1,583.30	Professional		$529.20	$860.78	$1,583.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.62 / $917.83 / $1,630.33	Facility		$169.62	$917.83	$1,630.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $280.54 / $744.59 / $1,590.60	Professional		$280.54	$744.59	$1,590.60
United Facility/Professional Professional Modifier Low / Median / High Price $625.91 / $647.22 / $1,488.61	Professional		$625.91	$647.22	$1,488.61