Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.75 / $4,806.00 / $13,413.92	Facility		$814.75	$4,806.00	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $127.64 / $127.64 / $293.91	Facility	52	$127.64	$127.64	$293.91
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.06 / $51.06 / $117.56	Facility	53	$51.06	$51.06	$117.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $258.51 / $1,129.04	Professional		$108.00	$258.51	$1,129.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.38 / $299.38 / $664.54	Professional		$299.38	$299.38	$664.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.30 / $686.46 / $1,580.66	Facility		$107.30	$686.46	$1,580.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $201.35 / $596.59 / $1,348.00	Professional		$201.35	$596.59	$1,348.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.15 / $777.50 / $1,335.77	Professional		$336.15	$777.50	$1,335.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.30 / $686.46 / $1,580.66	Facility		$107.30	$686.46	$1,580.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $284.52 / $671.16 / $1,420.86	Professional		$284.52	$671.16	$1,420.86
United Facility/Professional Professional Modifier Low / Median / High Price $522.50 / $797.43 / $1,201.75	Professional		$522.50	$797.43	$1,201.75