Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $2,464.00 / $11,709.00	Facility		$238.00	$2,464.00	$11,709.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $476.27 / $476.27 / $485.79	Facility	54	$476.27	$476.27	$485.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $218.38 / $1,098.56	Professional		$183.87	$218.38	$1,098.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.79 / $695.94 / $1,013.83	Professional		$530.79	$695.94	$1,013.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $212.31 / $1,077.04 / $1,537.98	Facility		$212.31	$1,077.04	$1,537.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $576.58 / $708.39 / $1,423.50	Professional		$576.58	$708.39	$1,423.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $796.25 / $1,107.75 / $1,379.40	Professional		$796.25	$1,107.75	$1,379.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.98 / $1,077.04 / $1,537.98	Facility		$218.98	$1,077.04	$1,537.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $445.90 / $1,096.50 / $1,379.40	Professional		$445.90	$1,096.50	$1,379.40
United Facility/Professional Professional Modifier Low / Median / High Price $556.76 / $974.33 / $1,224.86	Professional		$556.76	$974.33	$1,224.86