Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $4,913.88 / $9,577.00	Facility		$1,872.00	$4,913.88	$9,577.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $99.22 / $99.22 / $274.54	Facility	53	$99.22	$99.22	$274.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.12 / $699.49 / $2,316.07	Professional		$156.12	$699.49	$2,316.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.39 / $586.39 / $1,849.29	Professional		$586.39	$586.39	$1,849.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $207.91 / $1,171.81 / $3,242.50	Facility		$207.91	$1,171.81	$3,242.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.73 / $1,177.43 / $3,110.20	Professional		$467.73	$1,177.43	$3,110.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.65 / $1,081.55 / $3,772.00	Professional		$646.65	$1,081.55	$3,772.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.91 / $1,171.81 / $3,242.50	Facility		$207.91	$1,171.81	$3,242.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.46 / $1,081.55 / $3,772.00	Professional		$354.46	$1,081.55	$3,772.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,304.26 / $2,231.89 / $3,815.29	Professional		$1,304.26	$2,231.89	$3,815.29