Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.30 / $5,084.91 / $13,413.92	Facility		$321.30	$5,084.91	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $611.35 / $611.35 / $648.16	Facility	54	$611.35	$611.35	$648.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.82 / $636.98 / $1,465.72	Professional		$287.82	$636.98	$1,465.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.06 / $892.40 / $1,365.77	Professional		$683.06	$892.40	$1,365.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $287.82 / $1,382.48 / $2,052.01	Facility		$287.82	$1,382.48	$2,052.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $740.73 / $946.14 / $1,901.25	Professional		$740.73	$946.14	$1,901.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,043.90 / $1,496.40 / $1,812.00	Professional		$1,043.90	$1,496.40	$1,812.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $287.82 / $1,382.48 / $2,052.01	Facility		$287.82	$1,382.48	$2,052.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.25 / $1,468.50 / $1,909.60	Professional		$602.25	$1,468.50	$1,909.60
United Facility/Professional Professional Modifier Low / Median / High Price $758.30 / $1,327.03 / $1,668.26	Professional		$758.30	$1,327.03	$1,668.26