Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.97 / $5,084.91 / $13,413.92	Facility		$759.97	$5,084.91	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $104.56 / $104.56 / $379.99	Facility	52	$104.56	$104.56	$379.99
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.82 / $41.82 / $151.99	Facility	53	$41.82	$41.82	$151.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $229.06 / $1,389.36	Professional		$71.84	$229.06	$1,389.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $241.72 / $823.75	Professional		$90.53	$241.72	$823.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.80 / $382.30 / $1,945.10	Facility		$88.80	$382.30	$1,945.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $198.02 / $625.66 / $1,743.17	Professional		$198.02	$625.66	$1,743.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $535.45 / $1,539.03	Professional		$252.00	$535.45	$1,539.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.80 / $382.30 / $1,945.10	Facility		$88.80	$382.30	$1,945.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $420.00 / $1,435.20	Professional		$157.50	$420.00	$1,435.20
United Facility/Professional Professional Modifier Low / Median / High Price $596.73 / $724.50 / $1,817.75	Professional		$596.73	$724.50	$1,817.75