Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,442.41 / $9,231.00 / $14,552.94	Facility		$5,442.41	$9,231.00	$14,552.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,080.58 / $1,080.58 / $1,080.58	Facility	52	$1,080.58	$1,080.58	$1,080.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.07 / $1,693.58 / $3,837.64	Professional		$855.07	$1,693.58	$3,837.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,515.04 / $2,515.04 / $2,515.04	Professional		$2,515.04	$2,515.04	$2,515.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $917.58 / $3,417.86 / $4,887.54	Facility		$917.58	$3,417.86	$4,887.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,767.73 / $4,590.60 / $6,005.61	Professional		$1,767.73	$4,590.60	$6,005.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,732.50 / $3,169.70 / $4,730.70	Professional		$2,732.50	$3,169.70	$4,730.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $917.58 / $3,417.86 / $4,887.54	Facility		$917.58	$3,417.86	$4,887.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,001.78 / $3,157.50 / $4,852.00	Professional		$1,001.78	$3,157.50	$4,852.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,843.83 / $3,018.06 / $4,647.97	Professional		$1,843.83	$3,018.06	$4,647.97