Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.01 / $988.56 / $11,709.00	Facility		$381.01	$988.56	$11,709.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.52 / $94.52 / $144.44	Facility	52	$94.52	$94.52	$144.44
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.81 / $37.81 / $57.78	Facility	53	$37.81	$37.81	$57.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.03 / $165.55 / $515.67	Professional		$78.03	$165.55	$515.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $152.41 / $232.90 / $277.35	Professional	52	$152.41	$232.90	$277.35
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $60.96 / $93.16 / $110.94	Professional	53	$60.96	$93.16	$110.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.49 / $221.49 / $316.31	Professional		$221.49	$221.49	$316.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $426.73 / $652.11	Facility		$79.31	$426.73	$652.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.83 / $396.90 / $669.41	Professional		$152.83	$396.90	$669.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.15 / $413.10 / $602.54	Professional		$255.15	$413.10	$602.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $426.73 / $652.11	Facility		$79.31	$426.73	$652.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $357.86 / $616.00	Professional		$128.97	$357.86	$616.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.04 / $379.56 / $653.89	Professional		$253.04	$379.56	$653.89