Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.38 / $1,556.10 / $13,413.92	Facility		$275.38	$1,556.10	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $567.63 / $567.63 / $618.40	Facility	54	$567.63	$567.63	$618.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.78 / $457.38 / $1,468.36	Professional		$208.78	$457.38	$1,468.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.37 / $831.28 / $1,274.13	Professional		$629.37	$831.28	$1,274.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $258.07 / $1,283.63 / $1,957.82	Facility		$258.07	$1,283.63	$1,957.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.05 / $891.78 / $1,792.05	Professional		$676.05	$891.78	$1,792.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $945.10 / $1,368.50 / $1,659.00	Professional		$945.10	$1,368.50	$1,659.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.93 / $1,283.63 / $1,957.82	Facility		$267.93	$1,283.63	$1,957.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $545.25 / $1,331.55 / $1,738.00	Professional		$545.25	$1,331.55	$1,738.00
United Facility/Professional Professional Modifier Low / Median / High Price $719.08 / $1,084.81 / $1,581.98	Professional		$719.08	$1,084.81	$1,581.98