Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.13 / $3,162.22 / $7,450.42	Facility		$907.13	$3,162.22	$7,450.42
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $271.44 / $271.44 / $473.25	Facility	52	$271.44	$271.44	$473.25
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $189.30 / $620.29 / $1,080.51	Facility	53	$189.30	$620.29	$1,080.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.30 / $399.40 / $1,730.37	Professional		$192.30	$399.40	$1,730.37
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $55.93 / $157.25 / $620.29	Professional	53	$55.93	$157.25	$620.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.08 / $457.18 / $1,045.65	Professional		$251.08	$457.18	$1,045.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.00 / $992.48 / $2,422.52	Facility		$229.00	$992.48	$2,422.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $492.35 / $983.01 / $2,192.80	Professional		$492.35	$983.01	$2,192.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.40 / $1,193.40 / $2,047.14	Professional		$631.40	$1,193.40	$2,047.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.00 / $992.48 / $2,422.52	Facility		$229.00	$992.48	$2,422.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $370.06 / $946.75 / $1,948.05	Professional		$370.06	$946.75	$1,948.05
Providence Facility/Professional Professional Modifier 53 Low / Median / High Price $143.54 / $143.54 / $267.63	Professional	53	$143.54	$143.54	$267.63
United Facility/Professional Professional Modifier Low / Median / High Price $750.65 / $875.52 / $2,307.41	Professional		$750.65	$875.52	$2,307.41