Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,492.63 / $6,479.00 / $11,709.00	Facility		$2,492.63	$6,479.00	$11,709.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $205.57 / $6,238.70 / $13,438.52	Facility	50	$205.57	$6,238.70	$13,438.52
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $229.20 / $546.51 / $1,755.26	Facility	52	$229.20	$546.51	$1,755.26
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $91.68 / $91.68 / $218.60	Facility	53	$91.68	$91.68	$218.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.46 / $624.11 / $1,728.60	Professional		$150.46	$624.11	$1,728.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.88 / $533.88 / $1,390.27	Professional		$533.88	$533.88	$1,390.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.93 / $1,014.93 / $2,420.04	Facility		$194.93	$1,014.93	$2,420.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $450.27 / $1,077.51 / $2,516.19	Professional		$450.27	$1,077.51	$2,516.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $621.00 / $1,003.50 / $2,758.00	Professional		$621.00	$1,003.50	$2,758.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.93 / $1,014.93 / $2,420.04	Facility		$194.93	$1,014.93	$2,420.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $340.40 / $896.00 / $2,822.00	Professional		$340.40	$896.00	$2,822.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,035.33 / $1,668.33 / $2,767.82	Professional		$1,035.33	$1,668.33	$2,767.82