Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,603.12 / $9,577.00 / $14,552.94	Facility		$1,603.12	$9,577.00	$14,552.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $271.02 / $271.02 / $801.56	Facility	52	$271.02	$271.02	$801.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $674.42 / $3,079.11	Professional		$171.50	$674.42	$3,079.11
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $520.54 / $870.12 / $1,701.97	Professional	52	$520.54	$870.12	$1,701.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.05 / $640.05 / $1,913.05	Professional		$640.05	$640.05	$1,913.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.03 / $1,457.50 / $4,310.75	Facility		$228.03	$1,457.50	$4,310.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $516.24 / $1,377.15 / $3,636.93	Professional		$516.24	$1,377.15	$3,636.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.15 / $1,208.25 / $3,442.04	Professional		$714.15	$1,208.25	$3,442.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.03 / $1,457.50 / $4,310.75	Facility		$228.03	$1,457.50	$4,310.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $634.79 / $1,208.25 / $3,831.95	Professional		$634.79	$1,208.25	$3,831.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,436.50 / $2,295.66 / $3,457.04	Professional		$1,436.50	$2,295.66	$3,457.04