Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.66 / $5,037.20 / $10,141.04	Facility		$1,080.66	$5,037.20	$10,141.04
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $295.55 / $598.05 / $1,537.13	Facility	52	$295.55	$598.05	$1,537.13
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $118.22 / $239.22 / $2,056.57	Facility	53	$118.22	$239.22	$2,056.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.39 / $470.18 / $2,186.73	Professional		$208.39	$470.18	$2,186.73
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $100.85 / $232.93 / $1,093.36	Professional	52	$100.85	$232.93	$1,093.36
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $40.34 / $93.17 / $437.35	Professional	53	$40.34	$93.17	$437.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.10 / $549.96 / $1,337.13	Professional		$273.10	$549.96	$1,337.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.22 / $1,512.92 / $3,061.42	Facility		$249.22	$1,512.92	$3,061.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $555.76 / $1,244.04 / $2,758.80	Professional		$555.76	$1,244.04	$2,758.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.75 / $1,359.51 / $2,547.50	Professional		$733.75	$1,359.51	$2,547.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.22 / $1,080.66 / $3,061.42	Facility		$249.22	$1,080.66	$3,061.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $414.18 / $1,089.00 / $2,461.98	Professional		$414.18	$1,089.00	$2,461.98
United Facility/Professional Professional Modifier Low / Median / High Price $944.40 / $1,120.39 / $2,933.44	Professional		$944.40	$1,120.39	$2,933.44