Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.39 / $6,541.00 / $13,413.92	Facility		$983.39	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $688.68 / $688.68 / $737.54	Facility	54	$688.68	$688.68	$737.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.62 / $347.60 / $1,667.87	Professional		$268.62	$347.60	$1,667.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.55 / $1,016.16 / $1,537.80	Professional		$772.55	$1,016.16	$1,537.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $313.63 / $1,557.36 / $2,335.02	Facility		$313.63	$1,557.36	$2,335.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $823.23 / $1,065.48 / $2,141.10	Professional		$823.23	$1,065.48	$2,141.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,181.70 / $1,697.50 / $2,020.00	Professional		$1,181.70	$1,697.50	$2,020.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $324.79 / $1,557.36 / $2,335.02	Facility		$324.79	$1,557.36	$2,335.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $681.75 / $1,636.80 / $2,186.80	Professional		$681.75	$1,636.80	$2,186.80
United Facility/Professional Professional Modifier Low / Median / High Price $449.74 / $1,315.26 / $1,918.05	Professional		$449.74	$1,315.26	$1,918.05