Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.80 / $4,092.99 / $9,691.75	Facility		$821.80	$4,092.99	$9,691.75
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $203.00 / $203.00 / $511.00	Facility	52	$203.00	$203.00	$511.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $81.20 / $81.20 / $204.40	Facility	53	$81.20	$81.20	$204.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $375.70 / $1,868.42	Professional		$138.69	$375.70	$1,868.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.74 / $408.68 / $1,143.08	Professional		$187.74	$408.68	$1,143.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $742.24 / $2,615.79	Facility		$171.17	$742.24	$2,615.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $376.57 / $952.11 / $2,208.00	Professional		$376.57	$952.11	$2,208.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.97 / $1,026.48 / $2,151.60	Professional		$495.97	$1,026.48	$2,151.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $742.24 / $2,615.79	Facility		$171.17	$742.24	$2,615.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.39 / $812.00 / $2,038.00	Professional		$303.39	$812.00	$2,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.67 / $973.01 / $2,743.38	Professional		$474.67	$973.01	$2,743.38