Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.63 / $4,336.80 / $10,900.00	Facility		$650.63	$4,336.80	$10,900.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $259.77 / $259.77 / $528.02	Facility	52	$259.77	$259.77	$528.02
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $103.91 / $103.91 / $211.21	Facility	53	$103.91	$103.91	$211.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.11 / $384.50 / $1,930.62	Professional		$178.11	$384.50	$1,930.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.81 / $428.40 / $1,183.17	Professional		$215.81	$428.40	$1,183.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.70 / $949.86 / $2,702.87	Facility		$218.70	$949.86	$2,702.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $481.14 / $1,099.47 / $2,379.30	Professional		$481.14	$1,099.47	$2,379.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.46 / $1,148.40 / $2,195.60	Professional		$628.46	$1,148.40	$2,195.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.70 / $949.86 / $2,702.87	Facility		$218.70	$949.86	$2,702.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.33 / $913.45 / $2,048.00	Professional		$366.33	$913.45	$2,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $834.02 / $990.65 / $2,554.71	Professional		$834.02	$990.65	$2,554.71