Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.14 / $3,916.08 / $10,900.00	Facility		$973.14	$3,916.08	$10,900.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $166.91 / $166.91 / $432.61	Facility	52	$166.91	$166.91	$432.61
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $66.77 / $66.77 / $173.04	Facility	53	$66.77	$66.77	$173.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $664.86 / $1,679.26	Professional		$107.26	$664.86	$1,679.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.21 / $395.21 / $963.11	Professional		$395.21	$395.21	$963.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.69 / $761.75 / $2,016.66	Facility		$139.69	$761.75	$2,016.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $311.49 / $774.90 / $1,972.19	Professional		$311.49	$774.90	$1,972.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $718.06 / $1,681.77	Professional		$432.00	$718.06	$1,681.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.69 / $761.75 / $1,974.35	Facility		$139.69	$761.75	$1,974.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.80 / $659.25 / $1,702.74	Professional		$236.80	$659.25	$1,702.74
United Facility/Professional Professional Modifier Low / Median / High Price $750.34 / $815.38 / $1,658.99	Professional		$750.34	$815.38	$1,658.99