Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $820.37 / $4,339.89 / $9,285.00	Facility		$820.37	$4,339.89	$9,285.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $179.49 / $179.49 / $393.57	Facility	52	$179.49	$179.49	$393.57
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $71.80 / $71.80 / $157.43	Facility	53	$71.80	$71.80	$157.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.63 / $317.97 / $1,439.06	Professional		$127.63	$317.97	$1,439.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.03 / $345.40 / $866.26	Professional		$167.03	$345.40	$866.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.68 / $656.30 / $2,014.68	Facility		$151.68	$656.30	$2,014.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $333.70 / $781.15 / $1,793.40	Professional		$333.70	$781.15	$1,793.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.69 / $804.44 / $1,671.25	Professional		$439.69	$804.44	$1,671.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.68 / $656.30 / $2,014.68	Facility		$151.68	$656.30	$2,014.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.18 / $667.85 / $1,591.20	Professional		$263.18	$667.85	$1,591.20
United Facility/Professional Professional Modifier Low / Median / High Price $399.01 / $728.00 / $1,911.53	Professional		$399.01	$728.00	$1,911.53