Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.25 / $5,070.21 / $11,709.00	Facility		$1,354.25	$5,070.21	$11,709.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $92.92 / $92.92 / $456.10	Facility	53	$92.92	$92.92	$456.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.71 / $845.05 / $3,717.08	Professional		$148.71	$845.05	$3,717.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.74 / $546.74 / $2,894.00	Professional		$546.74	$546.74	$2,894.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.65 / $1,060.22 / $5,203.91	Facility		$194.65	$1,060.22	$5,203.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $433.77 / $1,276.41 / $5,145.00	Professional		$433.77	$1,276.41	$5,145.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.10 / $990.12 / $5,542.00	Professional		$602.10	$990.12	$5,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.65 / $1,060.22 / $5,203.91	Facility		$194.65	$1,060.22	$5,203.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.04 / $1,056.72 / $5,542.00	Professional		$330.04	$1,056.72	$5,542.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,227.90 / $2,360.54 / $5,413.79	Professional		$2,227.90	$2,360.54	$5,413.79