Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,993.32 / $9,285.00 / $11,709.00	Facility		$1,993.32	$9,285.00	$11,709.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $448.81 / $448.81 / $448.81	Facility	52	$448.81	$448.81	$448.81
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $179.53 / $179.53 / $179.53	Facility	53	$179.53	$179.53	$179.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.23 / $373.88 / $1,583.74	Professional		$322.23	$373.88	$1,583.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,050.36 / $1,050.36 / $1,050.36	Professional		$1,050.36	$1,050.36	$1,050.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $381.05 / $1,419.59 / $2,030.01	Facility		$381.05	$1,419.59	$2,030.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $727.00 / $1,887.90 / $2,493.46	Professional		$727.00	$1,887.90	$2,493.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,123.75 / $1,303.55 / $1,936.00	Professional		$1,123.75	$1,303.55	$1,936.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.05 / $1,419.59 / $2,030.01	Facility		$381.05	$1,419.59	$2,030.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $415.63 / $1,306.50 / $1,951.25	Professional		$415.63	$1,306.50	$1,951.25
United Facility/Professional Professional Modifier Low / Median / High Price $840.30 / $840.30 / $1,949.11	Professional		$840.30	$840.30	$1,949.11