Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $629.65 / $629.65 / $704.53	Facility	54	$629.65	$629.65	$704.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.02 / $320.10 / $1,593.21	Professional		$240.02	$320.10	$1,593.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.53 / $927.53 / $1,480.20	Professional		$706.53	$927.53	$1,480.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $755.30 / $1,022.79 / $2,055.30	Professional		$755.30	$1,022.79	$2,055.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,068.59 / $1,550.40 / $1,881.39	Professional		$1,068.59	$1,550.40	$1,881.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.50 / $1,486.40 / $1,898.18	Professional		$616.50	$1,486.40	$1,898.18
United Facility/Professional Professional Modifier Low / Median / High Price $824.34 / $1,442.60 / $1,813.55	Professional		$824.34	$1,442.60	$1,813.55