Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,969.04 / $9,577.00 / $13,413.92	Facility		$1,969.04	$9,577.00	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $330.86 / $330.86 / $984.52	Facility	52	$330.86	$330.86	$984.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.46 / $727.05 / $3,599.81	Professional		$224.46	$727.05	$3,599.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.31 / $723.41 / $2,172.78	Professional		$284.31	$723.41	$2,172.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $278.97 / $1,209.77 / $5,039.72	Facility		$278.97	$1,209.77	$5,039.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $622.10 / $1,689.10 / $4,439.39	Professional		$622.10	$1,689.10	$4,439.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $819.58 / $1,660.22 / $4,188.80	Professional		$819.58	$1,660.22	$4,188.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $278.97 / $1,209.77 / $5,039.72	Facility		$278.97	$1,209.77	$5,039.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.14 / $1,314.00 / $3,915.34	Professional		$489.14	$1,314.00	$3,915.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,540.26 / $1,891.95 / $5,214.66	Professional		$1,540.26	$1,891.95	$5,214.66