Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.18 / $594.86 / $4,750.20	Facility		$282.18	$594.86	$4,750.20
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $413.76 / $642.88 / $1,416.45	Facility	50	$413.76	$642.88	$1,416.45
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $66.56 / $66.56 / $91.52	Facility	52	$66.56	$66.56	$91.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $173.39 / $470.94	Professional		$49.16	$173.39	$470.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $89.97 / $592.88 / $873.00	Professional	50	$89.97	$592.88	$873.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $155.43 / $277.56	Professional		$114.98	$155.43	$277.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $256.41 / $434.59	Facility		$57.01	$256.41	$434.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.98 / $190.20 / $386.12	Professional		$109.98	$190.20	$386.12
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $797.85 / $797.85 / $797.85	Professional	50	$797.85	$797.85	$797.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $264.00 / $361.03	Professional		$170.00	$264.00	$361.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $248.33 / $434.59	Facility		$57.01	$248.33	$434.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.32 / $250.80 / $361.20	Professional		$95.32	$250.80	$361.20
United Facility/Professional Professional Modifier Low / Median / High Price $156.58 / $242.37 / $365.75	Professional		$156.58	$242.37	$365.75
United Facility/Professional Professional Modifier 50 Low / Median / High Price $85.00 / $85.00 / $85.00	Professional	50	$85.00	$85.00	$85.00