Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.43 / $8,475.08 / $10,900.00	Facility		$1,380.43	$8,475.08	$10,900.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $342.46 / $342.46 / $1,764.45	Facility	52	$342.46	$342.46	$1,764.45
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $136.99 / $136.99 / $705.78	Facility	53	$136.99	$136.99	$705.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.38 / $405.82 / $5,689.75	Professional		$237.38	$405.82	$5,689.75
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $220.87 / $299.11 / $1,503.00	Professional	53	$220.87	$299.11	$1,503.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.20 / $797.20 / $4,112.81	Professional		$797.20	$797.20	$4,112.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $287.95 / $1,546.09 / $7,965.65	Facility		$287.95	$1,546.09	$7,965.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $673.44 / $1,890.14 / $7,951.74	Professional		$673.44	$1,890.14	$7,951.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $934.20 / $1,520.00 / $7,620.96	Professional		$934.20	$1,520.00	$7,620.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $287.95 / $1,546.09 / $7,965.65	Facility		$287.95	$1,546.09	$7,965.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.08 / $1,587.46 / $7,620.96	Professional		$512.08	$1,587.46	$7,620.96
United Facility/Professional Professional Modifier Low / Median / High Price $3,197.88 / $3,290.24 / $7,355.12	Professional		$3,197.88	$3,290.24	$7,355.12