Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.17 / $5,463.50 / $9,285.00	Facility		$709.17	$5,463.50	$9,285.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $203.62 / $203.62 / $354.44	Facility	53	$203.62	$203.62	$354.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.40 / $349.31 / $756.02	Professional		$189.40	$349.31	$756.02
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $52.13 / $113.47 / $283.56	Professional	53	$52.13	$113.47	$283.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $301.75 / $301.75	Professional		$301.75	$301.75	$301.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.19 / $455.73 / $794.28	Facility		$229.19	$455.73	$794.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $465.75 / $983.97 / $2,193.90	Professional		$465.75	$983.97	$2,193.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.00 / $1,033.59 / $1,814.33	Professional		$619.00	$1,033.59	$1,814.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.19 / $455.73 / $794.28	Facility		$229.19	$455.73	$794.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $370.75 / $895.95 / $1,804.00	Professional		$370.75	$895.95	$1,804.00
Providence Facility/Professional Professional Modifier 53 Low / Median / High Price $144.07 / $144.07 / $268.16	Professional	53	$144.07	$144.07	$268.16
United Facility/Professional Professional Modifier Low / Median / High Price $521.04 / $837.00 / $2,308.73	Professional		$521.04	$837.00	$2,308.73