Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.79 / $2,065.48 / $10,900.00	Facility		$561.79	$2,065.48	$10,900.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $93.07 / $93.07 / $182.76	Facility	52	$93.07	$93.07	$182.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $186.14 / $692.78	Professional		$67.79	$186.14	$692.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $263.99 / $572.91	Professional		$158.22	$263.99	$572.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.92 / $307.49 / $845.36	Facility		$72.92	$307.49	$845.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.08 / $355.31 / $854.10	Professional		$156.08	$355.31	$854.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.25 / $472.50 / $897.50	Professional		$241.25	$472.50	$897.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.69 / $338.24 / $845.36	Facility		$74.69	$338.24	$845.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $435.91 / $897.50	Professional		$168.75	$435.91	$897.50
United Facility/Professional Professional Modifier Low / Median / High Price $348.72 / $526.08 / $793.34	Professional		$348.72	$526.08	$793.34