Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.50 / $9,285.00 / $13,413.92	Facility		$337.50	$9,285.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $656.54 / $656.54 / $704.14	Facility	54	$656.54	$656.54	$704.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.03 / $320.36 / $1,592.32	Professional		$251.03	$320.36	$1,592.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.35 / $964.16 / $1,468.17	Professional		$733.35	$964.16	$1,468.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $298.14 / $1,484.69 / $2,229.25	Facility		$298.14	$1,484.69	$2,229.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $783.60 / $1,012.11 / $2,033.85	Professional		$783.60	$1,012.11	$2,033.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,112.80 / $1,592.50 / $1,916.00	Professional		$1,112.80	$1,592.50	$1,916.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.33 / $1,484.69 / $2,229.25	Facility		$309.33	$1,484.69	$2,229.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $642.00 / $1,560.90 / $2,015.20	Professional		$642.00	$1,560.90	$2,015.20
United Facility/Professional Professional Modifier Low / Median / High Price $823.78 / $1,441.62 / $1,812.32	Professional		$823.78	$1,441.62	$1,812.32