Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.66 / $333.66 / $9,577.00	Facility		$149.66	$333.66	$9,577.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.85 / $37.85 / $84.39	Facility	52	$37.85	$37.85	$84.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $95.22 / $266.93	Professional		$30.75	$95.22	$266.93
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $59.87 / $85.00 / $163.84	Professional	52	$59.87	$85.00	$163.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.40 / $89.40 / $190.27	Professional		$89.40	$89.40	$190.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.86 / $167.62 / $373.70	Facility		$31.86	$167.62	$373.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $178.48 / $396.50	Professional		$71.81	$178.48	$396.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $220.00 / $392.48	Professional		$99.90	$220.00	$392.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.86 / $167.62 / $373.70	Facility		$31.86	$167.62	$373.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $156.60 / $392.48	Professional		$55.50	$156.60	$392.48
United Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $228.33 / $408.00	Professional		$152.22	$228.33	$408.00