Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.83 / $6,541.00 / $13,413.92	Facility		$708.83	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $127.22 / $127.22 / $354.42	Facility	52	$127.22	$127.22	$354.42
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $50.89 / $50.89 / $141.77	Facility	53	$50.89	$50.89	$141.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $261.58 / $1,295.86	Professional		$89.57	$261.58	$1,295.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.68 / $256.08 / $735.28	Professional		$119.68	$256.08	$735.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.54 / $465.16 / $1,814.22	Facility		$107.54	$465.16	$1,814.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.59 / $619.87 / $1,625.75	Professional		$236.59	$619.87	$1,625.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.25 / $646.49 / $1,425.57	Professional		$316.25	$646.49	$1,425.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.54 / $465.16 / $1,814.22	Facility		$107.54	$465.16	$1,814.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.88 / $508.00 / $1,300.00	Professional		$193.88	$508.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.67 / $588.22 / $1,411.73	Professional		$525.67	$588.22	$1,411.73