Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.24 / $415.32 / $1,796.94	Facility		$272.24	$415.32	$1,796.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $136.12 / $207.66 / $801.50	Facility	52	$136.12	$207.66	$801.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $175.45 / $477.08	Professional		$79.23	$175.45	$477.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $228.10 / $568.04	Professional		$99.61	$228.10	$568.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.44 / $340.30 / $649.83	Facility		$98.44	$340.30	$649.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $211.65 / $384.93 / $646.84	Professional		$211.65	$384.93	$646.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $440.73 / $897.75	Professional		$227.00	$440.73	$897.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.55 / $340.30 / $636.50	Facility		$144.55	$340.30	$636.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.05 / $377.85 / $908.25	Professional		$163.05	$377.85	$908.25
United Facility/Professional Professional Modifier Low / Median / High Price $358.52 / $448.16 / $963.54	Professional		$358.52	$448.16	$963.54