Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.08 / $1,872.00 / $11,709.00	Facility		$290.08	$1,872.00	$11,709.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $655.73 / $655.73 / $730.00	Facility	54	$655.73	$655.73	$730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.58 / $558.36 / $1,650.78	Professional		$285.58	$558.36	$1,650.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.31 / $974.15 / $1,515.33	Professional		$735.31	$974.15	$1,515.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $296.93 / $1,482.87 / $2,311.09	Facility		$296.93	$1,482.87	$2,311.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $778.75 / $1,049.01 / $2,107.94	Professional		$778.75	$1,049.01	$2,107.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,125.80 / $1,567.45 / $1,929.59	Professional		$1,125.80	$1,567.45	$1,929.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.41 / $1,482.87 / $2,311.09	Facility		$320.41	$1,482.87	$2,311.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $644.19 / $1,512.00 / $1,978.81	Professional		$644.19	$1,512.00	$1,978.81
United Facility/Professional Professional Modifier Low / Median / High Price $853.06 / $1,507.87 / $1,895.61	Professional		$853.06	$1,507.87	$1,895.61