Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.73 / $4,806.00 / $13,413.92	Facility		$110.73	$4,806.00	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $55.37 / $55.37 / $299.06	Facility	52	$55.37	$55.37	$299.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $211.86 / $1,093.46	Professional		$36.42	$211.86	$1,093.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $210.41 / $671.52	Professional		$44.19	$210.41	$671.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.95 / $237.52 / $1,530.84	Facility		$46.95	$237.52	$1,530.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $307.70 / $1,360.32	Professional		$104.70	$307.70	$1,360.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.80 / $405.60 / $1,265.58	Professional		$127.80	$405.60	$1,265.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.95 / $237.52 / $1,530.84	Facility		$46.95	$237.52	$1,530.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $271.63 / $1,240.98	Professional		$80.48	$271.63	$1,240.98
United Facility/Professional Professional Modifier Low / Median / High Price $232.13 / $537.22 / $1,611.66	Professional		$232.13	$537.22	$1,611.66