Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $891.25 / $16,595.87	Facility		$309.03	$891.25	$16,595.87
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	54	$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $851.14	Professional		$263.03	$380.19	$851.14
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $676.08 / $676.08 / $1,479.11	Professional	54	$676.08	$676.08	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,348.96	Professional		$676.08	$891.25	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $398.11 / $1,905.46	Facility		$245.47	$398.11	$1,905.46
Moda Health Facility/Professional Facility Modifier 54 Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	54	$251.19	$251.19	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,023.29 / $1,737.80	Professional		$602.56	$1,023.29	$1,737.80
Moda Health Facility/Professional Professional Modifier 54 Low / Median / High Price $467.74 / $549.54 / $1,479.11	Professional	54	$467.74	$549.54	$1,479.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,698.24	Professional		$933.25	$1,288.25	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $398.11 / $1,584.89	Facility		$269.15	$398.11	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $398.11 / $891.25	Professional		$60.26	$398.11	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,230.27 / $1,621.81	Professional		$295.12	$1,230.27	$1,621.81