Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.81 / $2,820.44 / $9,577.00	Facility		$930.81	$2,820.44	$9,577.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $159.13 / $159.13 / $401.56	Facility	52	$159.13	$159.13	$401.56
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $63.66 / $63.66 / $160.63	Facility	53	$63.66	$63.66	$160.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.82 / $297.45 / $1,468.28	Professional		$103.82	$297.45	$1,468.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.12 / $346.21 / $895.82	Professional		$127.12	$346.21	$895.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.09 / $581.87 / $2,055.59	Facility		$134.09	$581.87	$2,055.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $721.65 / $1,799.70	Professional		$295.00	$721.65	$1,799.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.60 / $777.26 / $1,688.00	Professional		$375.60	$777.26	$1,688.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.09 / $581.87 / $2,055.59	Facility		$134.09	$581.87	$2,055.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.88 / $614.71 / $1,668.00	Professional		$230.88	$614.71	$1,668.00
United Facility/Professional Professional Modifier Low / Median / High Price $626.10 / $760.38 / $2,219.88	Professional		$626.10	$760.38	$2,219.88