Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,782.79 / $6,825.52 / $11,709.00	Facility		$1,782.79	$6,825.52	$11,709.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $227.58 / $227.58 / $891.40	Facility	52	$227.58	$227.58	$891.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.99 / $980.97 / $2,905.86	Professional		$152.99	$980.97	$2,905.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.23 / $540.23 / $1,866.68	Professional		$540.23	$540.23	$1,866.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.85 / $1,038.63 / $4,068.20	Facility		$190.85	$1,038.63	$4,068.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $425.04 / $1,251.45 / $4,023.86	Professional		$425.04	$1,251.45	$4,023.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.95 / $978.97 / $3,376.62	Professional		$589.95	$978.97	$3,376.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.85 / $1,038.63 / $4,068.20	Facility		$190.85	$1,038.63	$4,068.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.38 / $978.97 / $3,311.55	Professional		$323.38	$978.97	$3,311.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,454.30 / $1,511.68 / $2,869.80	Professional		$1,454.30	$1,511.68	$2,869.80