Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $820.20 / $13,413.92	Facility		$192.25	$820.20	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $66.20 / $66.20 / $282.82	Facility	52	$66.20	$66.20	$282.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $203.87 / $894.57	Professional		$44.85	$203.87	$894.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $186.47 / $779.07	Professional		$66.70	$186.47	$779.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.42 / $224.66 / $355.94	Facility		$55.42	$224.66	$355.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $363.61 / $1,283.04	Professional		$110.95	$363.61	$1,283.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $511.00 / $1,131.31	Professional		$160.00	$511.00	$1,131.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.42 / $224.66 / $1,225.56	Facility		$55.42	$224.66	$1,225.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $284.58 / $998.42	Professional		$108.29	$284.58	$998.42
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.24 / $495.78 / $743.67	Professional		$290.24	$495.78	$743.67