Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $306.89 / $306.89 / $1,214.83	Facility	52	$306.89	$306.89	$1,214.83
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $122.76 / $122.76 / $485.93	Facility	53	$122.76	$122.76	$485.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.33 / $970.71 / $3,842.50	Professional		$229.33	$970.71	$3,842.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.62 / $724.62 / $2,675.45	Professional		$724.62	$724.62	$2,675.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $258.02 / $1,358.99 / $5,379.50	Facility		$258.02	$1,358.99	$5,379.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $583.20 / $1,686.36 / $5,478.90	Professional		$583.20	$1,686.36	$5,478.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.60 / $1,333.54 / $4,831.20	Professional		$804.60	$1,333.54	$4,831.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.02 / $1,358.99 / $5,379.50	Facility		$258.02	$1,358.99	$5,379.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $441.04 / $1,333.54 / $4,867.72	Professional		$441.04	$1,333.54	$4,867.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,508.00 / $2,357.61 / $4,292.67	Professional		$1,508.00	$2,357.61	$4,292.67