Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,244.36 / $10,000.00	Facility		$3,715.35	$7,244.36	$10,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $204.17 / $6,309.57 / $13,489.63	Facility	50	$204.17	$6,309.57	$13,489.63
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility	52	$1,737.80	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $398.11 / $1,122.02	Professional		$151.36	$398.11	$1,122.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Professional	50	$14,125.38	$14,125.38	$14,125.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $1,380.38	Professional		$537.03	$537.03	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $3,715.35 / $8,317.64	Facility		$251.19	$3,715.35	$8,317.64
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $204.17 / $6,309.57 / $13,489.63	Facility	50	$204.17	$6,309.57	$13,489.63
Moda Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility	52	$1,737.80	$1,737.80	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $933.25 / $2,344.23	Professional		$346.74	$933.25	$2,344.23
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Professional	50	$14,125.38	$14,125.38	$14,125.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $2,691.53	Professional		$616.60	$1,000.00	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $891.25 / $2,398.83	Facility		$281.84	$891.25	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $213.80 / $1,380.38	Professional		$60.26	$213.80	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,000.00 / $1,778.28	Professional		$426.58	$1,000.00	$1,778.28