Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,025.29 / $5,084.91 / $13,413.92	Facility		$1,025.29	$5,084.91	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $127.21 / $127.21 / $512.65	Facility	52	$127.21	$127.21	$512.65
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $50.88 / $50.88 / $205.06	Facility	53	$50.88	$50.88	$205.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.50 / $379.92 / $1,969.27	Professional		$78.50	$379.92	$1,969.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $297.89 / $1,198.66	Professional		$297.89	$297.89	$1,198.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.37 / $684.15 / $2,756.98	Facility		$106.37	$684.15	$2,756.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $238.71 / $695.31 / $2,305.80	Professional		$238.71	$695.31	$2,305.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.40 / $551.25 / $2,189.51	Professional		$329.40	$551.25	$2,189.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.37 / $684.15 / $2,756.98	Facility		$106.37	$684.15	$2,756.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $551.25 / $2,520.00	Professional		$305.00	$551.25	$2,520.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $958.94 / $2,167.34	Professional		$440.00	$958.94	$2,167.34