Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.30 / $428.48 / $6,541.00	Facility		$230.30	$428.48	$6,541.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $223.98 / $223.98 / $263.33	Facility	54	$223.98	$223.98	$263.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $229.90 / $592.40	Professional		$80.34	$229.90	$592.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $205.33 / $383.68	Professional		$168.57	$205.33	$383.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $503.88 / $705.43 / $847.13	Facility		$503.88	$705.43	$847.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.00 / $314.39 / $372.63	Professional		$262.00	$314.39	$372.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.20 / $437.40 / $536.83	Professional		$259.20	$437.40	$536.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $503.88 / $705.43 / $829.36	Facility		$503.88	$705.43	$829.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $362.70 / $637.52	Professional		$183.26	$362.70	$637.52
United Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $306.94 / $463.05	Professional		$130.72	$306.94	$463.05