Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $4,806.00 / $13,413.92	Facility		$225.00	$4,806.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $650.41 / $650.41 / $708.16	Facility	54	$650.41	$650.41	$708.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.93 / $336.47 / $1,601.42	Professional		$253.93	$336.47	$1,601.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.29 / $958.91 / $1,485.19	Professional		$730.29	$958.91	$1,485.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $297.07 / $1,470.83 / $2,241.98	Facility		$297.07	$1,470.83	$2,241.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $781.98 / $1,031.52 / $2,072.85	Professional		$781.98	$1,031.52	$2,072.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,114.09 / $1,611.75 / $1,937.78	Professional		$1,114.09	$1,611.75	$1,937.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $313.58 / $1,470.83 / $2,241.98	Facility		$313.58	$1,470.83	$2,241.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $646.25 / $1,551.00 / $2,107.60	Professional		$646.25	$1,551.00	$2,107.60
United Facility/Professional Professional Modifier Low / Median / High Price $837.34 / $1,465.35 / $1,842.15	Professional		$837.34	$1,465.35	$1,842.15