Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.56 / $426.41 / $13,413.92	Facility		$211.56	$426.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $88.23 / $341.13	Professional		$42.03	$88.23	$341.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $111.22 / $151.06 / $180.45	Professional	52	$111.22	$151.06	$180.45
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $44.49 / $60.42 / $72.18	Professional	53	$44.49	$60.42	$72.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.49 / $161.49 / $223.02	Professional		$161.49	$161.49	$223.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.94 / $311.39 / $477.58	Facility		$57.94	$311.39	$477.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $289.80 / $490.93	Professional		$111.60	$289.80	$490.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.95 / $278.75 / $423.15	Professional		$184.95	$278.75	$423.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.94 / $311.39 / $477.58	Facility		$57.94	$311.39	$477.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $246.05 / $430.00	Professional		$93.98	$246.05	$430.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.42 / $194.50 / $447.35	Professional		$178.42	$194.50	$447.35