Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $6,541.00 / $13,413.92	Facility		$988.00	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $666.10 / $666.10 / $741.00	Facility	54	$666.10	$666.10	$741.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.92 / $988.00 / $1,675.67	Professional		$256.92	$988.00	$1,675.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.87 / $977.28 / $1,560.04	Professional		$744.87	$977.28	$1,560.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $305.24 / $1,506.33 / $2,345.94	Facility		$305.24	$1,506.33	$2,345.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $803.80 / $1,081.98 / $2,174.25	Professional		$803.80	$1,081.98	$2,174.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,134.90 / $1,650.25 / $2,037.25	Professional		$1,134.90	$1,650.25	$2,037.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $328.25 / $1,506.33 / $2,345.94	Facility		$328.25	$1,506.33	$2,345.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $663.44 / $1,592.25 / $2,147.19	Professional		$663.44	$1,592.25	$2,147.19
United Facility/Professional Professional Modifier Low / Median / High Price $456.70 / $1,306.06 / $1,904.63	Professional		$456.70	$1,306.06	$1,904.63