Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.50 / $1,140.27 / $13,413.92	Facility		$337.50	$1,140.27	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $400.22 / $400.22 / $403.39	Facility	54	$400.22	$400.22	$403.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $181.69 / $912.22	Professional		$151.78	$181.69	$912.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.85 / $584.65 / $843.18	Professional		$444.85	$584.65	$843.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.98 / $905.05 / $1,277.10	Facility		$174.98	$905.05	$1,277.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $487.63 / $591.92 / $1,189.50	Professional		$487.63	$591.92	$1,189.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $913.50 / $1,157.20	Professional		$660.00	$913.50	$1,157.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.04 / $905.05 / $1,277.10	Facility		$185.04	$905.05	$1,277.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $369.60 / $909.50 / $1,157.20	Professional		$369.60	$909.50	$1,157.20
United Facility/Professional Professional Modifier Low / Median / High Price $467.72 / $499.18 / $1,028.98	Professional		$467.72	$499.18	$1,028.98