Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.43 / $7,340.00 / $14,552.94	Facility		$924.43	$7,340.00	$14,552.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $265.50 / $265.50 / $518.50	Facility	52	$265.50	$265.50	$518.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.09 / $414.92 / $1,690.27	Professional		$182.09	$414.92	$1,690.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.62 / $621.62 / $1,160.27	Professional		$621.62	$621.62	$1,160.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.60 / $1,211.70 / $2,366.38	Facility		$223.60	$1,211.70	$2,366.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $483.55 / $1,143.61 / $2,403.50	Professional		$483.55	$1,143.61	$2,403.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $695.25 / $1,272.50 / $2,067.00	Professional		$695.25	$1,272.50	$2,067.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.60 / $1,211.70 / $2,366.38	Facility		$223.60	$1,211.70	$2,366.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $368.08 / $973.54 / $2,120.00	Professional		$368.08	$973.54	$2,120.00
United Facility/Professional Professional Modifier Low / Median / High Price $897.60 / $928.22 / $2,064.48	Professional		$897.60	$928.22	$2,064.48