Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.19 / $6,541.00 / $13,413.92	Facility		$804.19	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $549.84 / $549.84 / $603.14	Facility	54	$549.84	$549.84	$603.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.43 / $267.82 / $1,363.95	Professional		$206.43	$267.82	$1,363.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.86 / $801.13 / $1,264.38	Professional		$613.86	$801.13	$1,264.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $252.59 / $1,243.40 / $1,909.53	Facility		$252.59	$1,243.40	$1,909.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $664.73 / $880.14 / $1,768.65	Professional		$664.73	$880.14	$1,768.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.80 / $1,354.50 / $1,622.00	Professional		$930.80	$1,354.50	$1,622.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.10 / $1,243.40 / $1,909.53	Facility		$266.10	$1,243.40	$1,909.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.00 / $1,310.09 / $1,636.06	Professional		$537.00	$1,310.09	$1,636.06
United Facility/Professional Professional Modifier Low / Median / High Price $699.82 / $1,224.69 / $1,539.60	Professional		$699.82	$1,224.69	$1,539.60