Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.67 / $94.67 / $94.67	Facility	52	$94.67	$94.67	$94.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $312.77 / $312.77	Professional		$56.71	$312.77	$312.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $219.38 / $262.99	Professional		$162.72	$219.38	$262.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.46 / $312.77 / $437.89	Facility		$61.46	$312.77	$437.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $189.24 / $384.15	Professional		$157.69	$189.24	$384.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.90 / $305.00 / $486.00	Professional		$196.90	$305.00	$486.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.46 / $312.77 / $437.89	Facility		$61.46	$312.77	$437.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $301.95 / $555.26	Professional		$115.90	$301.95	$555.26
United Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $264.76 / $438.75	Professional		$175.50	$264.76	$438.75