Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.80 / $971.03 / $10,900.00	Facility		$303.80	$971.03	$10,900.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $430.20 / $430.20 / $472.51	Facility	52	$430.20	$430.20	$472.51
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $645.29 / $645.29 / $708.77	Facility	54	$645.29	$645.29	$708.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.15 / $505.45 / $1,602.79	Professional		$254.15	$505.45	$1,602.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.85 / $937.31 / $1,465.72	Professional		$710.85	$937.31	$1,465.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $293.45 / $1,459.28 / $2,243.91	Facility		$293.45	$1,459.28	$2,243.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $769.05 / $1,023.78 / $2,057.25	Professional		$769.05	$1,023.78	$2,057.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.20 / $1,529.75 / $1,880.00	Professional		$1,071.20	$1,529.75	$1,880.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $306.36 / $1,459.28 / $2,243.91	Facility		$306.36	$1,459.28	$2,243.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $618.00 / $1,437.92 / $1,882.84	Professional		$618.00	$1,437.92	$1,882.84
United Facility/Professional Professional Modifier Low / Median / High Price $816.02 / $1,428.04 / $1,795.24	Professional		$816.02	$1,428.04	$1,795.24