Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.60 / $6,541.00 / $13,413.92	Facility		$705.60	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.56 / $27.56 / $27.56	Facility	53	$27.56	$27.56	$27.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $57.39 / $384.30	Professional		$45.13	$57.39	$384.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.87 / $159.87 / $159.87	Professional		$159.87	$159.87	$159.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.39 / $264.66 / $378.46	Facility		$57.39	$264.66	$378.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.33 / $270.89 / $378.89	Professional		$104.33	$270.89	$378.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.25 / $187.05 / $330.75	Professional		$161.25	$187.05	$330.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.39 / $264.66 / $378.46	Facility		$57.39	$264.66	$378.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $192.00 / $302.26	Professional		$60.80	$192.00	$302.26
United Facility/Professional Professional Modifier Low / Median / High Price $127.36 / $191.85 / $292.93	Professional		$127.36	$191.85	$292.93