Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $5,084.91 / $13,413.92	Facility		$306.00	$5,084.91	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $514.70 / $514.70 / $557.21	Facility	54	$514.70	$514.70	$557.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.15 / $261.62 / $1,260.08	Professional		$198.15	$261.62	$1,260.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.02 / $753.46 / $1,175.88	Professional		$576.02	$753.46	$1,175.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $238.55 / $1,163.92 / $1,764.11	Facility		$238.55	$1,163.92	$1,764.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $629.15 / $820.95 / $1,649.70	Professional		$629.15	$820.95	$1,649.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $882.70 / $1,274.00 / $1,530.00	Professional		$882.70	$1,274.00	$1,530.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.97 / $1,163.92 / $1,764.11	Facility		$245.97	$1,163.92	$1,764.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $509.25 / $1,193.59 / $1,546.35	Professional		$509.25	$1,193.59	$1,546.35
United Facility/Professional Professional Modifier Low / Median / High Price $346.52 / $987.26 / $1,439.72	Professional		$346.52	$987.26	$1,439.72