Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,195.50 / $10,900.00 / $19,373.20	Facility		$3,195.50	$10,900.00	$19,373.20
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $356.44 / $356.44 / $1,597.75	Facility	52	$356.44	$356.44	$1,597.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.15 / $1,248.24 / $6,137.62	Professional		$198.15	$1,248.24	$6,137.62
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $684.60 / $1,140.45 / $3,534.18	Professional	52	$684.60	$1,140.45	$3,534.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.12 / $840.12 / $3,870.27	Professional		$840.12	$840.12	$3,870.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.35 / $1,916.87 / $8,592.67	Facility		$299.35	$1,916.87	$8,592.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $680.25 / $1,964.04 / $7,226.10	Professional		$680.25	$1,964.04	$7,226.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $943.65 / $1,556.54 / $7,114.95	Professional		$943.65	$1,556.54	$7,114.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $299.35 / $1,916.87 / $8,592.67	Facility		$299.35	$1,916.87	$8,592.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $873.75 / $1,600.98 / $8,048.07	Professional		$873.75	$1,600.98	$8,048.07
United Facility/Professional Professional Modifier Low / Median / High Price $2,955.62 / $3,704.00 / $6,797.93	Professional		$2,955.62	$3,704.00	$6,797.93