Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,178.40 / $10,175.36 / $13,413.92	Facility		$1,178.40	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.98 / $727.67 / $2,263.38	Professional		$416.98	$727.67	$2,263.38
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $749.76 / $1,131.69 / $1,163.73	Professional	52	$749.76	$1,131.69	$1,163.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $918.65 / $918.65 / $1,402.83	Professional		$918.65	$918.65	$1,402.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $326.45 / $2,099.33 / $3,168.73	Facility		$326.45	$2,099.33	$3,168.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $643.70 / $1,671.60 / $2,709.47	Professional		$643.70	$1,671.60	$2,709.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,077.30 / $1,659.15 / $2,967.75	Professional		$1,077.30	$1,659.15	$2,967.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.45 / $2,099.33 / $3,168.73	Facility		$326.45	$2,099.33	$3,168.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.60 / $1,620.00 / $4,252.39	Professional		$615.60	$1,620.00	$4,252.39
United Facility/Professional Facility Modifier Low / Median / High Price $6,295.00 / $6,295.00 / $6,295.00	Facility		$6,295.00	$6,295.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.04 / $1,683.39 / $3,825.68	Professional		$599.04	$1,683.39	$3,825.68