Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.47 / $1,352.16 / $10,900.00	Facility		$473.47	$1,352.16	$10,900.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $119.75 / $119.75 / $324.95	Facility	52	$119.75	$119.75	$324.95
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.90 / $47.90 / $129.97	Facility	53	$47.90	$47.90	$129.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.80 / $336.93 / $1,132.05	Professional		$128.80	$336.93	$1,132.05
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $189.39 / $268.61 / $513.91	Professional	52	$189.39	$268.61	$513.91
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $75.76 / $107.44 / $205.56	Professional	53	$75.76	$107.44	$205.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.33 / $280.33 / $649.52	Professional		$280.33	$280.33	$649.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.46 / $530.29 / $1,438.93	Facility		$101.46	$530.29	$1,438.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $231.93 / $562.04 / $1,498.48	Professional		$231.93	$562.04	$1,498.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.30 / $726.00 / $1,160.00	Professional		$321.30	$726.00	$1,160.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.46 / $530.29 / $1,438.93	Facility		$101.46	$530.29	$1,438.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.12 / $524.49 / $1,152.48	Professional		$176.12	$524.49	$1,152.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.94 / $1,334.94 / $1,334.94	Facility		$1,334.94	$1,334.94	$1,334.94
United Facility/Professional Professional Modifier Low / Median / High Price $417.58 / $779.43 / $960.43	Professional		$417.58	$779.43	$960.43