Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $19,373.20 / $30,088.15	Facility		$9,285.00	$19,373.20	$30,088.15
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $497.55 / $497.55 / $497.55	Facility	53	$497.55	$497.55	$497.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.29 / $1,823.25 / $14,552.94	Professional		$1,063.29	$1,823.25	$14,552.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,436.15 / $2,436.15 / $3,791.18	Professional		$2,436.15	$2,436.15	$3,791.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,139.41 / $2,240.11 / $3,203.36	Facility		$1,139.41	$2,240.11	$3,203.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,241.63 / $3,104.64 / $7,484.10	Professional		$2,241.63	$3,104.64	$7,484.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,465.00 / $4,087.50 / $7,292.10	Professional		$3,465.00	$4,087.50	$7,292.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,139.41 / $2,240.11 / $3,203.36	Facility		$1,139.41	$2,240.11	$3,203.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,404.60 / $4,893.00 / $7,777.84	Professional		$1,404.60	$4,893.00	$7,777.84
United Facility/Professional Professional Modifier Low / Median / High Price $3,032.94 / $4,549.41 / $6,992.00	Professional		$3,032.94	$4,549.41	$6,992.00