Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.37 / $6,541.00 / $13,413.92	Facility		$485.37	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $168.22 / $168.22 / $242.69	Facility	52	$168.22	$168.22	$242.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $188.23 / $791.13	Professional		$124.26	$188.23	$791.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.96 / $383.96 / $545.36	Professional		$383.96	$383.96	$545.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.66 / $767.75 / $1,107.58	Facility		$142.66	$767.75	$1,107.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.43 / $730.80 / $1,125.30	Professional		$281.43	$730.80	$1,125.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.10 / $691.20 / $1,014.00	Professional		$467.10	$691.20	$1,014.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.66 / $767.75 / $1,107.58	Facility		$142.66	$767.75	$1,107.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.43 / $606.79 / $1,040.00	Professional		$229.43	$606.79	$1,040.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.87 / $436.28 / $980.26	Professional		$424.87	$436.28	$980.26