Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.27 / $396.70 / $9,285.00	Facility		$186.27	$396.70	$9,285.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $205.71 / $518.66	Professional		$60.09	$205.71	$518.66
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $158.68 / $178.61 / $259.33	Professional	52	$158.68	$178.61	$259.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $194.86 / $340.59	Professional		$121.34	$194.86	$340.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $317.36 / $453.82 / $726.12	Facility		$317.36	$453.82	$726.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.10 / $217.67 / $329.94	Professional		$152.10	$217.67	$329.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $294.00 / $475.32	Professional		$220.00	$294.00	$475.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $317.36 / $453.82 / $726.12	Facility		$317.36	$453.82	$726.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $281.70 / $476.00	Professional		$128.00	$281.70	$476.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.46 / $272.45 / $411.03	Professional		$120.46	$272.45	$411.03