Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.60 / $5,084.91 / $13,413.92	Facility		$354.60	$5,084.91	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $670.09 / $670.09 / $704.36	Facility	54	$670.09	$670.09	$704.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $325.69 / $1,592.82	Professional		$255.08	$325.69	$1,592.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.28 / $979.66 / $1,478.74	Professional		$749.28	$979.66	$1,478.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $308.10 / $1,515.33 / $2,229.94	Facility		$308.10	$1,515.33	$2,229.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $811.90 / $1,027.65 / $2,065.05	Professional		$811.90	$1,027.65	$2,065.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,142.70 / $1,606.50 / $1,937.97	Professional		$1,142.70	$1,606.50	$1,937.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.63 / $1,515.33 / $2,229.94	Facility		$311.63	$1,515.33	$2,229.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $636.48 / $1,533.00 / $1,957.80	Professional		$636.48	$1,533.00	$1,957.80
United Facility/Professional Professional Modifier Low / Median / High Price $826.50 / $1,446.38 / $1,818.30	Professional		$826.50	$1,446.38	$1,818.30