Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.40 / $284.30 / $9,577.00	Facility		$80.40	$284.30	$9,577.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $300.20 / $312.20 / $2,796.30	Facility	50	$300.20	$312.20	$2,796.30
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $48.90 / $48.90 / $67.93	Facility	52	$48.90	$48.90	$67.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $60.00 / $229.17	Professional		$27.07	$60.00	$229.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $110.29 / $110.29 / $465.86	Professional	50	$110.29	$110.29	$465.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $81.84 / $106.17 / $125.25	Professional	52	$81.84	$106.17	$125.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.15 / $114.15 / $154.50	Professional		$114.15	$114.15	$154.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $227.44 / $318.42	Facility		$40.72	$227.44	$318.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $201.60 / $319.33	Professional		$77.63	$201.60	$319.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.60 / $188.00 / $276.00	Professional		$129.60	$188.00	$276.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $227.44 / $318.42	Facility		$40.72	$227.44	$318.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.54 / $170.40 / $280.00	Professional		$66.54	$170.40	$280.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.01 / $125.31 / $186.46	Professional		$122.01	$125.31	$186.46