Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.30 / $4,473.04 / $11,709.00	Facility		$230.30	$4,473.04	$11,709.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $249.90 / $249.90 / $424.96	Facility	54	$249.90	$249.90	$424.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.50 / $309.29 / $961.01	Professional		$152.50	$309.29	$961.01
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $131.87 / $679.86 / $720.76	Professional	54	$131.87	$679.86	$720.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.91 / $584.10 / $894.49	Professional		$444.91	$584.10	$894.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $185.54 / $906.48 / $1,345.41	Facility		$185.54	$906.48	$1,345.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.25 / $624.92 / $1,255.80	Professional		$489.25	$624.92	$1,255.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.80 / $933.80 / $1,178.52	Professional		$683.80	$933.80	$1,178.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.81 / $906.48 / $1,345.41	Facility		$186.81	$906.48	$1,345.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $393.40 / $915.04 / $1,173.90	Professional		$393.40	$915.04	$1,173.90
United Facility/Professional Professional Modifier Low / Median / High Price $494.72 / $865.76 / $1,088.38	Professional		$494.72	$865.76	$1,088.38