Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.30 / $5,084.91 / $13,413.92	Facility		$321.30	$5,084.91	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $521.73 / $521.73 / $557.91	Facility	54	$521.73	$521.73	$557.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.43 / $261.44 / $1,261.65	Professional		$200.43	$261.44	$1,261.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.39 / $763.53 / $1,174.10	Professional		$583.39	$763.53	$1,174.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $241.41 / $1,179.83 / $1,766.31	Facility		$241.41	$1,179.83	$1,766.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $636.42 / $819.00 / $1,645.80	Professional		$636.42	$819.00	$1,645.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.80 / $1,223.80 / $1,544.52	Professional		$891.80	$1,223.80	$1,544.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.10 / $1,179.83 / $1,766.31	Facility		$246.10	$1,179.83	$1,766.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $514.50 / $1,195.25 / $1,546.35	Professional		$514.50	$1,195.25	$1,546.35
United Facility/Professional Professional Modifier Low / Median / High Price $655.20 / $1,310.40 / $1,441.44	Professional		$655.20	$1,310.40	$1,441.44