Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.73 / $4,473.04 / $11,709.00	Facility		$769.73	$4,473.04	$11,709.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $50.24 / $50.24 / $105.07	Facility	53	$50.24	$50.24	$105.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $232.07 / $867.88	Professional		$76.23	$232.07	$867.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.13 / $282.95 / $687.03	Professional		$129.13	$282.95	$687.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $210.66 / $593.41	Facility		$104.71	$210.66	$593.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $214.13 / $463.45 / $1,191.47	Professional		$214.13	$463.45	$1,191.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.75 / $548.00 / $1,052.76	Professional		$308.75	$548.00	$1,052.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $210.66 / $1,189.00	Facility		$104.71	$210.66	$1,189.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.90 / $439.21 / $945.45	Professional		$197.90	$439.21	$945.45
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $311.45 / $513.19 / $1,875.00	Professional		$311.45	$513.19	$1,875.00