Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.95 / $6,825.52 / $13,413.92	Facility		$514.95	$6,825.52	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $257.48 / $257.48 / $798.18	Facility	52	$257.48	$257.48	$798.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.20 / $594.07 / $2,918.43	Professional		$171.20	$594.07	$2,918.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.59 / $554.25 / $1,813.37	Professional		$213.59	$554.25	$1,813.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.53 / $941.43 / $4,085.80	Facility		$217.53	$941.43	$4,085.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $485.09 / $1,369.83 / $3,620.40	Professional		$485.09	$1,369.83	$3,620.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.77 / $1,292.97 / $3,449.55	Professional		$623.77	$1,292.97	$3,449.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.53 / $941.43 / $4,085.80	Facility		$217.53	$941.43	$4,085.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.06 / $1,026.00 / $3,230.40	Professional		$384.06	$1,026.00	$3,230.40
United Facility/Professional Professional Modifier Low / Median / High Price $747.64 / $1,541.40 / $3,934.22	Professional		$747.64	$1,541.40	$3,934.22