Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.74 / $6,541.00 / $13,413.92	Facility		$818.74	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $552.50 / $552.50 / $614.05	Facility	54	$552.50	$552.50	$614.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.97 / $272.06 / $1,388.61	Professional		$205.97	$272.06	$1,388.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.57 / $806.84 / $1,290.31	Professional		$616.57	$806.84	$1,290.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $253.76 / $1,249.40 / $1,944.05	Facility		$253.76	$1,249.40	$1,944.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $667.95 / $896.64 / $1,801.80	Professional		$667.95	$896.64	$1,801.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $934.70 / $1,356.60 / $1,649.34	Professional		$934.70	$1,356.60	$1,649.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.26 / $1,249.40 / $1,944.05	Facility		$271.26	$1,249.40	$1,944.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $539.25 / $1,284.80 / $1,654.05	Professional		$539.25	$1,284.80	$1,654.05
United Facility/Professional Professional Modifier Low / Median / High Price $713.26 / $1,222.48 / $1,569.17	Professional		$713.26	$1,222.48	$1,569.17