Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.83 / $1,228.47 / $13,413.92	Facility		$409.83	$1,228.47	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $137.83 / $137.83 / $180.99	Facility	52	$137.83	$137.83	$180.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $163.47 / $610.72	Professional		$81.54	$163.47	$610.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.27 / $225.33 / $411.13	Professional		$164.27	$225.33	$411.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $465.10 / $651.14 / $855.01	Facility		$465.10	$651.14	$855.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.95 / $284.33 / $379.41	Professional		$236.95	$284.33	$379.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.26 / $409.61 / $555.00	Professional		$234.26	$409.61	$555.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $465.10 / $651.14 / $855.01	Facility		$465.10	$651.14	$855.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.75 / $354.90 / $649.74	Professional		$175.75	$354.90	$649.74
United Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $328.90 / $496.18	Professional		$140.97	$328.90	$496.18