Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.04 / $6,541.00 / $13,413.92	Facility		$687.04	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $500.67 / $500.67 / $515.28	Facility	54	$500.67	$500.67	$515.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.56 / $236.42 / $1,165.23	Professional		$195.56	$236.42	$1,165.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.35 / $737.20 / $1,073.57	Professional		$561.35	$737.20	$1,073.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.19 / $1,132.22 / $1,631.32	Facility		$227.19	$1,132.22	$1,631.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $604.88 / $751.08 / $1,509.30	Professional		$604.88	$751.08	$1,509.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.75 / $1,185.08 / $1,474.00	Professional		$853.75	$1,185.08	$1,474.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.83 / $1,132.22 / $1,631.32	Facility		$229.83	$1,132.22	$1,631.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.10 / $1,171.30 / $1,504.80	Professional		$478.10	$1,171.30	$1,504.80
United Facility/Professional Professional Modifier Low / Median / High Price $589.76 / $1,032.08 / $1,297.47	Professional		$589.76	$1,032.08	$1,297.47