Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.84 / $6,541.00 / $13,413.92	Facility		$872.84	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $606.40 / $606.40 / $654.63	Facility	54	$606.40	$606.40	$654.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.07 / $1,371.28 / $1,480.34	Professional		$267.07	$1,371.28	$1,480.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.53 / $890.72 / $1,372.14	Professional		$679.53	$890.72	$1,372.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $277.41 / $1,371.28 / $2,072.48	Facility		$277.41	$1,371.28	$2,072.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $730.23 / $951.96 / $1,912.95	Professional		$730.23	$951.96	$1,912.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,036.09 / $1,503.25 / $1,784.90	Professional		$1,036.09	$1,503.25	$1,784.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.68 / $1,371.28 / $2,072.48	Facility		$289.68	$1,371.28	$2,072.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $597.75 / $1,447.05 / $1,933.80	Professional		$597.75	$1,447.05	$1,933.80
United Facility/Professional Professional Modifier Low / Median / High Price $770.68 / $1,348.69 / $1,695.50	Professional		$770.68	$1,348.69	$1,695.50