Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,513.00 / $11,709.00 / $30,714.39	Facility		$4,513.00	$11,709.00	$30,714.39
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $767.48 / $767.48 / $767.48	Facility	52	$767.48	$767.48	$767.48
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $306.99 / $306.99 / $306.99	Facility	53	$306.99	$306.99	$306.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.40 / $1,000.38 / $6,712.20	Professional		$583.40	$1,000.38	$6,712.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,344.09 / $1,344.09 / $2,007.29	Professional		$1,344.09	$1,344.09	$2,007.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $711.56 / $1,255.16 / $1,794.88	Facility		$711.56	$1,255.16	$1,794.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,391.70 / $1,927.52 / $4,674.28	Professional		$1,391.70	$1,927.52	$4,674.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,151.25 / $2,592.00 / $4,085.00	Professional		$2,151.25	$2,592.00	$4,085.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $711.56 / $1,255.16 / $1,794.88	Facility		$711.56	$1,255.16	$1,794.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $818.90 / $2,574.00 / $4,095.98	Professional		$818.90	$2,574.00	$4,095.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,605.84 / $1,612.98 / $2,904.33	Professional		$1,605.84	$1,612.98	$2,904.33