Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.11 / $4,473.04 / $11,709.00	Facility		$495.11	$4,473.04	$11,709.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $80.86 / $80.86 / $247.56	Facility	52	$80.86	$80.86	$247.56
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.34 / $32.34 / $99.02	Facility	53	$32.34	$32.34	$99.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $161.72 / $905.16	Professional		$56.86	$161.72	$905.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $174.53 / $526.75	Professional		$74.50	$174.53	$526.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.12 / $295.66 / $1,267.22	Facility		$69.12	$295.66	$1,267.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $449.00 / $1,141.08	Professional		$154.13	$449.00	$1,141.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.80 / $421.94 / $996.80	Professional		$196.80	$421.94	$996.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.12 / $295.66 / $1,267.22	Facility		$69.12	$295.66	$1,267.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.06 / $328.00 / $958.15	Professional		$125.06	$328.00	$958.15
United Facility/Professional Professional Modifier Low / Median / High Price $406.46 / $421.40 / $1,011.36	Professional		$406.46	$421.40	$1,011.36