Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.31 / $3,973.38 / $10,900.00	Facility		$420.31	$3,973.38	$10,900.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $225.39 / $225.39 / $1,418.06	Facility	52	$225.39	$225.39	$1,418.06
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $90.16 / $90.16 / $567.22	Facility	53	$90.16	$90.16	$567.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.58 / $824.11 / $5,184.96	Professional		$154.58	$824.11	$5,184.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.19 / $525.09 / $3,265.60	Professional		$186.19	$525.09	$3,265.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $1,113.48 / $7,258.94	Facility		$189.91	$1,113.48	$7,258.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $423.50 / $1,247.29 / $6,409.10	Professional		$423.50	$1,247.29	$6,409.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.39 / $1,228.50 / $6,132.10	Professional		$546.39	$1,228.50	$6,132.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $1,113.48 / $7,258.94	Facility		$189.91	$1,113.48	$7,258.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.96 / $1,258.75 / $5,969.25	Professional		$335.96	$1,258.75	$5,969.25
United Facility/Professional Professional Modifier Low / Median / High Price $2,193.98 / $2,569.02 / $7,086.23	Professional		$2,193.98	$2,569.02	$7,086.23