Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.35 / $2,917.55 / $9,577.00	Facility		$864.35	$2,917.55	$9,577.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $244.12 / $244.12 / $563.97	Facility	52	$244.12	$244.12	$563.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $412.52 / $2,062.09	Professional		$166.40	$412.52	$2,062.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.94 / $428.40 / $1,269.19	Professional		$201.94	$428.40	$1,269.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.78 / $892.60 / $2,886.93	Facility		$205.78	$892.60	$2,886.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $452.72 / $1,059.77 / $2,551.50	Professional		$452.72	$1,059.77	$2,551.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.94 / $1,083.78 / $2,223.44	Professional		$590.94	$1,083.78	$2,223.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.78 / $892.60 / $2,886.93	Facility		$205.78	$892.60	$2,886.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $355.98 / $907.20 / $2,104.00	Professional		$355.98	$907.20	$2,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.59 / $962.98 / $2,656.23	Professional		$495.59	$962.98	$2,656.23