Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $4,473.04 / $11,709.00	Facility		$306.00	$4,473.04	$11,709.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $249.90 / $249.90 / $665.98	Facility	54	$249.90	$249.90	$665.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.25 / $546.37 / $1,672.88	Professional		$269.25	$546.37	$1,672.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.50 / $914.00 / $1,388.17	Professional		$692.50	$914.00	$1,388.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $277.86 / $1,389.80 / $2,108.46	Facility		$277.86	$1,389.80	$2,108.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $730.23 / $957.78 / $1,924.65	Professional		$730.23	$957.78	$1,924.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,060.80 / $1,519.00 / $1,808.00	Professional		$1,060.80	$1,519.00	$1,808.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.02 / $1,389.80 / $2,108.46	Facility		$294.02	$1,389.80	$2,108.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $607.05 / $1,435.20 / $1,988.80	Professional		$607.05	$1,435.20	$1,988.80
United Facility/Professional Professional Modifier Low / Median / High Price $792.54 / $1,386.95 / $1,743.59	Professional		$792.54	$1,386.95	$1,743.59