Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,514.04 / $9,350.95 / $25,674.04	Facility		$3,514.04	$9,350.95	$25,674.04
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $7,190.75 / $7,190.75 / $7,190.75	Facility	22	$7,190.75	$7,190.75	$7,190.75
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $948.16 / $948.16 / $948.16	Facility	52	$948.16	$948.16	$948.16
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $379.26 / $379.26 / $379.26	Facility	53	$379.26	$379.26	$379.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.83 / $1,020.83 / $4,333.51	Professional		$650.83	$1,020.83	$4,333.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.95 / $990.89 / $2,193.48	Professional		$639.95	$990.89	$2,193.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $659.60 / $3,466.81 / $4,957.54	Facility		$659.60	$3,466.81	$4,957.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,622.18 / $2,405.67 / $5,242.06	Professional		$1,622.18	$2,405.67	$5,242.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,734.46 / $3,070.40 / $4,949.81	Professional		$1,734.46	$3,070.40	$4,949.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $659.60 / $3,466.81 / $4,853.53	Facility		$659.60	$3,466.81	$4,853.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $793.38 / $2,371.19 / $4,248.24	Professional		$793.38	$2,371.19	$4,248.24
United Facility/Professional Professional Modifier Low / Median / High Price $892.99 / $1,754.78 / $5,746.90	Professional		$892.99	$1,754.78	$5,746.90