Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,747.28 / $6,479.00 / $14,192.00	Facility		$1,747.28	$6,479.00	$14,192.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $382.30 / $382.30 / $909.04	Facility	52	$382.30	$382.30	$909.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $152.91 / $152.91 / $363.61	Facility	53	$152.91	$152.91	$363.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.02 / $668.36 / $3,323.79	Professional		$270.02	$668.36	$3,323.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.72 / $719.81 / $2,049.82	Professional		$342.72	$719.81	$2,049.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $321.79 / $1,397.83 / $4,653.31	Facility		$321.79	$1,397.83	$4,653.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.96 / $1,721.25 / $4,169.55	Professional		$707.96	$1,721.25	$4,169.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $939.00 / $1,878.00 / $4,114.00	Professional		$939.00	$1,878.00	$4,114.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $321.79 / $1,397.83 / $4,653.31	Facility		$321.79	$1,397.83	$4,653.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $563.88 / $1,470.38 / $3,908.16	Professional		$563.88	$1,470.38	$3,908.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.34 / $1,727.20 / $4,764.20	Professional		$1,427.34	$1,727.20	$4,764.20