Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.58 / $6,541.00 / $13,413.92	Facility		$767.58	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $553.48 / $553.48 / $575.67	Facility	54	$553.48	$553.48	$575.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.69 / $1,251.61 / $1,301.84	Professional		$243.69	$1,251.61	$1,301.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.52 / $814.12 / $1,204.33	Professional		$618.52	$814.12	$1,204.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $253.37 / $1,251.61 / $1,822.59	Facility		$253.37	$1,251.61	$1,822.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $667.15 / $836.49 / $1,680.90	Professional		$667.15	$836.49	$1,680.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $951.60 / $1,310.70 / $1,610.40	Professional		$951.60	$1,310.70	$1,610.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.47 / $1,251.61 / $1,822.59	Facility		$253.47	$1,251.61	$1,822.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.96 / $1,277.50 / $1,610.40	Professional		$524.96	$1,277.50	$1,610.40
United Facility/Professional Professional Modifier Low / Median / High Price $676.32 / $1,020.30 / $1,487.90	Professional		$676.32	$1,020.30	$1,487.90