Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,692.26 / $6,825.52 / $13,413.92	Facility		$1,692.26	$6,825.52	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $295.27 / $295.27 / $846.13	Facility	52	$295.27	$295.27	$846.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.19 / $624.05 / $3,093.79	Professional		$200.19	$624.05	$3,093.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.49 / $595.85 / $1,933.32	Professional		$244.49	$595.85	$1,933.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $248.96 / $1,079.66 / $4,331.31	Facility		$248.96	$1,079.66	$4,331.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $555.17 / $1,453.94 / $3,811.50	Professional		$555.17	$1,453.94	$3,811.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.36 / $1,470.00 / $3,796.00	Professional		$709.36	$1,470.00	$3,796.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.96 / $1,079.66 / $4,331.31	Facility		$248.96	$1,079.66	$4,331.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.60 / $1,174.00 / $3,692.88	Professional		$436.60	$1,174.00	$3,692.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.98 / $3,793.98 / $3,793.98	Facility		$3,793.98	$3,793.98	$3,793.98
United Facility/Professional Professional Modifier Low / Median / High Price $832.57 / $1,623.02 / $4,395.41	Professional		$832.57	$1,623.02	$4,395.41