Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.33 / $6,541.00 / $13,413.92	Facility		$446.33	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $89.27 / $89.27 / $198.59	Facility	53	$89.27	$89.27	$198.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.91 / $308.16 / $1,600.98	Professional		$168.91	$308.16	$1,600.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.86 / $519.86 / $1,008.08	Professional		$519.86	$519.86	$1,008.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.28 / $1,007.51 / $2,241.37	Facility		$188.28	$1,007.51	$2,241.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $1,043.13 / $2,271.56	Professional		$399.00	$1,043.13	$2,271.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.54 / $1,082.00 / $1,781.62	Professional		$611.54	$1,082.00	$1,781.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.28 / $1,007.51 / $2,241.37	Facility		$188.28	$1,007.51	$2,241.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.22 / $850.41 / $1,781.62	Professional		$335.22	$850.41	$1,781.62
United Facility/Professional Professional Modifier Low / Median / High Price $674.86 / $1,209.69 / $1,552.18	Professional		$674.86	$1,209.69	$1,552.18