Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.90 / $9,285.00 / $13,413.92	Facility		$249.90	$9,285.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $249.90 / $249.90 / $652.07	Facility	54	$249.90	$249.90	$652.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.43 / $303.61 / $1,474.60	Professional		$231.43	$303.61	$1,474.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.22 / $888.74 / $1,368.07	Professional		$676.22	$888.74	$1,368.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $277.32 / $1,369.84 / $2,064.44	Facility		$277.32	$1,369.84	$2,064.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $730.23 / $950.01 / $1,909.05	Professional		$730.23	$950.01	$1,909.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,034.80 / $1,496.25 / $1,784.00	Professional		$1,034.80	$1,496.25	$1,784.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $287.49 / $1,369.84 / $2,064.44	Facility		$287.49	$1,369.84	$2,064.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $597.00 / $1,447.05 / $1,805.70	Professional		$597.00	$1,447.05	$1,805.70
United Facility/Professional Professional Modifier Low / Median / High Price $766.68 / $1,341.69 / $1,686.70	Professional		$766.68	$1,341.69	$1,686.70