Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.60 / $6,541.00 / $13,413.92	Facility		$826.60	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $571.09 / $571.09 / $619.95	Facility	54	$571.09	$571.09	$619.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.46 / $291.32 / $1,401.93	Professional		$220.46	$291.32	$1,401.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.86 / $839.90 / $1,299.58	Professional		$638.86	$839.90	$1,299.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.19 / $1,291.43 / $1,962.70	Facility		$261.19	$1,291.43	$1,962.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $687.38 / $902.46 / $1,813.50	Professional		$687.38	$902.46	$1,813.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,412.25 / $1,680.00	Professional		$975.00	$1,412.25	$1,680.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.85 / $1,291.43 / $1,962.70	Facility		$273.85	$1,291.43	$1,962.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.50 / $1,324.80 / $1,713.75	Professional		$562.50	$1,324.80	$1,713.75
United Facility/Professional Professional Modifier Low / Median / High Price $731.64 / $1,280.36 / $1,609.61	Professional		$731.64	$1,280.36	$1,609.61