Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.89 / $3,014.10 / $11,709.00	Facility		$681.89	$3,014.10	$11,709.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.11 / $31.11 / $61.91	Facility	53	$31.11	$31.11	$61.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $142.35 / $557.36	Professional		$47.43	$142.35	$557.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.65 / $218.43 / $483.63	Professional		$134.65	$218.43	$483.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $256.99 / $715.96	Facility		$64.23	$256.99	$715.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.67 / $273.01 / $639.60	Professional		$123.67	$273.01	$639.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $298.00 / $550.20	Professional		$188.75	$298.00	$550.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $282.69 / $715.96	Facility		$64.23	$282.69	$715.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.75 / $285.77 / $551.10	Professional		$111.75	$285.77	$551.10
United Facility/Professional Professional Modifier Low / Median / High Price $196.32 / $286.95 / $599.37	Professional		$196.32	$286.95	$599.37