Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.72 / $6,541.00 / $13,413.92	Facility		$873.72	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $628.63 / $628.63 / $655.29	Facility	54	$628.63	$628.63	$655.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.75 / $301.69 / $1,481.86	Professional		$237.75	$301.69	$1,481.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.97 / $934.10 / $1,348.23	Professional		$708.97	$934.10	$1,348.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.62 / $1,421.59 / $2,074.60	Facility		$275.62	$1,421.59	$2,074.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $742.35 / $931.59 / $1,872.00	Professional		$742.35	$931.59	$1,872.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,060.80 / $1,479.00 / $1,795.20	Professional		$1,060.80	$1,479.00	$1,795.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.45 / $1,421.59 / $2,074.60	Facility		$288.45	$1,421.59	$2,074.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $603.84 / $1,424.60 / $1,805.70	Professional		$603.84	$1,424.60	$1,805.70
United Facility/Professional Professional Modifier Low / Median / High Price $773.10 / $1,546.20 / $1,700.82	Professional		$773.10	$1,546.20	$1,700.82