Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.68 / $5,084.91 / $13,413.92	Facility		$173.68	$5,084.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $99.41 / $329.47	Professional		$45.21	$99.41	$329.47
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $71.73 / $100.53 / $200.84	Professional	52	$71.73	$100.53	$200.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.75 / $107.75 / $232.83	Professional		$107.75	$107.75	$232.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.14 / $200.84 / $461.26	Facility		$38.14	$200.84	$461.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $211.48 / $485.98	Professional		$86.37	$211.48	$485.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $265.00 / $460.20	Professional		$120.15	$265.00	$460.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.14 / $200.84 / $461.26	Facility		$38.14	$200.84	$461.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $193.60 / $464.20	Professional		$65.86	$193.60	$464.20
United Facility/Professional Professional Modifier Low / Median / High Price $184.48 / $279.39 / $424.30	Professional		$184.48	$279.39	$424.30