Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.34 / $3,864.01 / $13,413.92	Facility		$1,219.34	$3,864.01	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $295.33 / $295.33 / $609.67	Facility	52	$295.33	$295.33	$609.67
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $118.13 / $118.13 / $243.87	Facility	53	$118.13	$118.13	$243.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.39 / $470.18 / $2,229.19	Professional		$208.39	$470.18	$2,229.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.10 / $534.98 / $1,365.39	Professional		$273.10	$534.98	$1,365.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.22 / $1,079.81 / $3,120.88	Facility		$249.22	$1,079.81	$3,120.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $547.20 / $1,268.31 / $2,811.33	Professional		$547.20	$1,268.31	$2,811.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.36 / $1,318.00 / $2,568.96	Professional		$709.36	$1,318.00	$2,568.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.22 / $1,079.81 / $3,120.88	Facility		$249.22	$1,079.81	$3,120.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $420.46 / $1,086.55 / $2,374.75	Professional		$420.46	$1,086.55	$2,374.75
United Facility/Professional Professional Modifier Low / Median / High Price $605.41 / $1,099.01 / $2,913.41	Professional		$605.41	$1,099.01	$2,913.41