Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $3,103.41 / $11,709.00	Facility		$1,758.00	$3,103.41	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.40 / $338.04 / $756.02	Professional		$189.40	$338.04	$756.02
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $52.13 / $113.41 / $283.27	Professional	53	$52.13	$113.41	$283.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $301.45	Professional		$301.45	$301.45	$301.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.00 / $455.35 / $793.88	Facility		$229.00	$455.35	$793.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $465.29 / $983.01 / $2,192.80	Professional		$465.29	$983.01	$2,192.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.00 / $1,031.70 / $1,810.48	Professional		$619.00	$1,031.70	$1,810.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.00 / $455.35 / $793.88	Facility		$229.00	$455.35	$793.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $370.06 / $894.30 / $1,802.00	Professional		$370.06	$894.30	$1,802.00
Providence Facility/Professional Professional Modifier 53 Low / Median / High Price $143.54 / $143.54 / $267.63	Professional	53	$143.54	$143.54	$267.63
United Facility/Professional Professional Modifier Low / Median / High Price $750.65 / $875.52 / $2,306.08	Professional		$750.65	$875.52	$2,306.08